SEQUOYAH CITY COUNTY TRUST AUTHORITY (NPI# 1538299268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538299268 |
| Entity Type | Organization |
| Organization Name | SEQUOYAH CITY COUNTY TRUST AUTHORITY |
| Other Organization Name | SEQUOYAH MEMORIAL HOSPITAL |
| Practice Address |
213 E Redwood Ave Sallisaw OK 74955-2811 |
| Mailing Address |
213 E Redwood Ave Po Box 505 Sallisaw OK 74955-2811 |
| Practice Telephone | 9187741100 |
| Mailing Telephone | 9187741100 |
| Mailing Fax Number | 9187741143 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. CHARLES E. WADE (CEO) |
| Authorized Official Telephone | 9187741100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 344802 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | INPATIENT PHARMACY | 344802 | 01 |
| Other Name | Type Code |
|---|---|
| Sequoyah Memorial Hospital | Doing Business As Name - Organization |
| Street Address |
213 E REDWOOD AVE |
| City | SALLISAW |
| State | OK |
| Zip Code | 74955-2811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972539567 | Sequoyah County City of Sallisaw Hospital Authority | General Acute Care Hospital | 213 E Redwood Ave, Sallisaw, OK 74955-2811 | 2006-06-24 |
| 1073138111 | Kaitlin Briana Lubbers | Physical Therapist | 213 E Redwood Ave, Sallisaw, OK 74955-2811 | 2020-06-15 |
| 1215431069 | Ess of Salisaw, LLC | Emergency Medicine | 213 E Redwood Ave, Sallisaw, OK 74955-2811 | 2018-03-19 |
| 1497093959 | Smh Physician Group, LLC | General Practice | 213 E Redwood Ave, Sallisaw, OK 74955-2811 | 2013-01-17 |
| 1528319092 | Sequoyah County City of Sallisaw Hospital Authority | Medicare Defined Swing Bed Unit | 213 E Redwood Ave, Sallisaw, OK 74955-2811 | 2012-09-25 |
| 1013264001 | Jordan Rae Folkerts | Pharmacist | 213 E Redwood Ave, Sallisaw, OK 74955-2811 | 2012-08-08 |
| 1841423894 | Hospital Care Consultants of Sallisaw | Hospitalist | 213 E Redwood Ave, Sallisaw, OK 74955-2811 | 2009-08-25 |
| 1801065123 | Sequoyah County City of Sallisaw Hospital Authority | Home Health | 213 E Redwood Ave, Sallisaw, OK 74955-2811 | 2008-02-21 |
| 1568631885 | Sequoyah County City of Sallisaw Hospital Authority | Home Health | 213 E Redwood Ave, Sallisaw, OK 74955-2811 | 2008-02-21 |
| 1376712695 | Sequoyah County City of Sallisaw Hopsital Authority | Hospice Care, Community Based | 213 E Redwood Ave, Sallisaw, OK 74955-2811 | 2008-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063057297 | Audrey A. Martin | Technician | 463508 East 1044 Road, Sallisaw, OK 74955 | 2019-11-12 |
| 1013472356 | Christopher Alan Bush | Registered Nurse | 301 Jt Stites, Sallisaw, OK 74955 | 2019-01-31 |
| 1174098941 | Sequoyah County Drug Company Pllc | Pharmacy | 1632 S Kerr Blvd, Sallisaw, OK 74955 | 2018-10-09 |
| 1720570609 | Stephanie Choate | Registered Nurse | 2703 E Phillips Ave, Sallisaw, OK 74955 | 2018-06-05 |
| 1972964666 | Sallisaw Family Medicine, L.L.C. | Family Medicine | 104 South Oak St, Sallisaw, OK 74955 | 2016-03-09 |
| 1407258544 | Mika Goff | Counselor | 301 So. Jt Stites, Sallisaw, OK 74955 | 2014-09-19 |
| 1013348200 | Alton Matlock | Counselor | 2101 Winter Park Drive, Apt/suite, Sallisaw, OK 74955 | 2013-12-12 |
| 1881931509 | Wildhorse Family Practice & Urgent Care | Clinic/Center | 1024 W Cherokee, Sallisaw, OK 74955 | 2013-01-15 |
| 1083966576 | Kayla Plank | Counselor | 204 E Choctaw, Sallisaw, OK 74955 | 2012-10-08 |
| 1427307503 | Brandi Jean Henry | Counselor | 205 S. J.t. Stites, Sallisaw, OK 74955 | 2012-09-05 |
| Find all providers in zip 74955 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477102580 | Php Management Group, LLC | Non-Pharmacy Dispensing Site | 1110 Magnolia Court, Moore, OK 73160 | 2019-09-11 |
| 1245887231 | Doctor Strains LLC | Non-Pharmacy Dispensing Site | 39015 Barnhart Dr, Howe, OK 74940-3688 | 2019-08-23 |
| 1376858373 | Jude & Jody Furniture Inc. | Non-Pharmacy Dispensing Site | 509 Sw 29th St, Oklahoma City, OK 73109-6746 | 2010-08-13 |
| 1013222363 | Occupational Health Centers of The Southwest | Non-Pharmacy Dispensing Site | 7301 Sw 44th St, Oklahoma City, OK 73179-4309 | 2010-08-11 |
| 1285653337 | Deer Creek Pharmacy Services Inc | Non-Pharmacy Dispensing Site | 509 Arapaho St, Hydro, OK 73048 | 2006-07-19 |
| 1528617834 | Vaporherbs,llc | Non-Pharmacy Dispensing Site | 921 S Main St, Sapulpa, OK 74066-5401 | 2019-09-09 |
| 1831485267 | Robert Reynolds, M.d., P.C. | Non-Pharmacy Dispensing Site | 13301 N Meridian Ave, Suite 501, Oklahoma City, OK 73120-9369 | 2011-06-23 |
| 1114244985 | Adult Gastroenterology Associates, Inc | Non-Pharmacy Dispensing Site | 2000 S Wheeling Ave, Suite 700, Tulsa, OK 74104-5649 | 2010-05-03 |
| 1982767950 | Oklahoma Medical Services & Supply Inc | Non-Pharmacy Dispensing Site | 7614 E 91st St, Ste 180, Tulsa, OK 74133-6047 | 2006-12-19 |
| 1437172434 | Oklahoma Oncology Inc | Non-Pharmacy Dispensing Site | 1705 E 19th St, Ste 201, Tulsa, OK 74104-5405 | 2006-07-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.