MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC. (NPI# 1639304181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639304181 |
| Entity Type | Organization |
| Organization Name | MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC. |
| Other Organization Name | MEMORIAL NORTH HEALTH CENTER |
| Practice Address |
510 S Park Dr Broken Bow OK 74728-5330 |
| Mailing Address |
1301 E Lincoln Rd Idabel OK 74745-7300 |
| Practice Telephone | 5805843449 |
| Practice Fax Number | 5805843451 |
| Mailing Telephone | 5802083100 |
| Mailing Fax Number | 5802083199 |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2009-07-28 |
| Authorized Official Name | MR. RAY B WHITMORE JR. (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5802083104 |
| Is Organization Subpart | Y |
| Parent Organization Name | MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Memorial North Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912248980 | Mccurtain Memorial Medical Management, Inc. | Family Medicine | 102 E Terri Dr, Valliant, OK 74764-6801 | 2013-03-15 |
| 1184838203 | Mccurtain Memorial Medical Management, Inc. | Emergency Medicine | 1301 E Lincoln Road, Idabel, OK 74745-7300 | 2007-05-09 |
| 1538381033 | Mccurtain Memorial Medical Management, Inc. | Physician Assistant | 205 N Main, Broken Bow, OK 74728-3975 | 2007-05-03 |
| 1285665836 | Mccurtain Memorial Medical Management, Inc. | Home Health | 1301 East Lincoln Road, Idabel, OK 74745-7300 | 2006-07-05 |
| 1336629385 | Mccurtain Memorial Medical Management, Inc. | Medicare Defined Swing Bed Unit | 1301 E Lincoln Rd, Idabel, OK 74745-7300 | 2018-08-20 |
| 1063900975 | Mccurtain Memorial Medical Management, Inc. | General Acute Care Hospital | 1301 E Lincoln Rd, Idabel, OK 74745 | 2018-04-26 |
| 1578704698 | Mccurtain Memorial Medical Management, Inc. | Psychiatry & Neurology | 1425 E Lincoln Rd, Suite A-2, Idabel, OK 74745-7345 | 2009-03-19 |
| 1356506109 | Mccurtain Memorial Medical Management, Inc. | Surgery | 1425 E Lincoln Rd, Suite A-6, Idabel, OK 74745-7345 | 2008-07-22 |
| 1992919013 | Mccurtain Memorial Medical Management, Inc. | Emergency Medicine | 1301 E Lincoln Road, Idabel, OK 74745-7300 | 2007-05-09 |
| 1376757401 | Mccurtain Memorial Medical Management, Inc. | Radiology | 1301 E Lincoln Road, Idabel, OK 74745-7300 | 2007-05-09 |
| Street Address |
510 S PARK DR |
| City | BROKEN BOW |
| State | OK |
| Zip Code | 74728-5330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588639827 | Curtiss D Farrell | Family Medicine | 510 S Park Dr, Broken Bow, OK 74728-5330 | 2006-02-21 |
| 1780172916 | Kiamichi Family Medical Center, Inc | Clinic/Center | 510 S Park Dr, Broken Bow, OK 74728-5330 | 2018-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730732926 | Natorrie D'atra Morris | Nurse Practitioner | Mccurtain Family Medical Clinic, 800 N Park Dr, Broken Bow, OK 74728 | 2019-07-17 |
| 1477925535 | Rebecca Stover | Nurse Practitioner | 813 Veterans Way, Broken Bow, OK 74728 | 2015-10-28 |
| 1023366614 | Tlc Family Clinic, LLC | Clinic/Center | 700 W. Jones, Tlc Family Clinic, LLC, Broken Bow, OK 74728 | 2012-08-29 |
| 1699925867 | Faith Lucille Phillips | Psychologist | 411 S. Park Drive, Broken Bow, OK 74728 | 2008-09-24 |
| 1265057251 | Heather Renee Payne | Counselor | 205 N. Main St, Broken Bow, OK 74728 | 2020-06-15 |
| 1396244109 | Erika Ann White | Counselor | 205 N Main St, Broken Bow, OK 74728 | 2018-02-07 |
| 1366954661 | Black Oak Clinic LLC | Clinic/Center | 110 W 1st St, Broken Bow, OK 74728 | 2017-10-26 |
| 1922467505 | Stover Family Clinic | Clinic/Center | 813 Veterans Way, Broken Bow, OK 74728 | 2016-02-11 |
| 1568820140 | Megan Elizabeth Black | Nurse Practitioner | 110 W 1st St, Broken Bow, OK 74728 | 2016-02-10 |
| 1578797221 | Kenneth G Ericksen | Chiropractor | 1605 S Park Dr, Broken Bow, OK 74728 | 2009-05-11 |
| Find all providers in zip 74728 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730606518 | Hochatown Medical Clinic LLC | Family Medicine | 6613 N Us Highway 259, Broken Bow, OK 74728-6591 | 2017-08-23 |
| 1912126335 | Family Medical Clinic | Family Medicine | 110 W 1st St, Broken Bow, OK 74728-3902 | 2007-04-24 |
| 1093847394 | Monty J Grugan Do PC | Family Medicine | 117 N Broadway St, Broken Bow, OK 74728-3933 | 2007-03-12 |
| 1225121361 | Melinda S Barratt | Family Medicine | 805 South F Street, Broken Bow, NE 68822-0647 | 2006-10-02 |
| 1578668232 | Central Nebraska Medical Clinic PC | Family Medicine | 145 Memorial Drive, Broken Bow, NE 68822 | 2006-09-14 |
| 1821007568 | Jon T Maxwell | Family Medicine | 6026 Battiest Pickens Rd, Broken Bow, OK 74728-5033 | 2006-08-05 |
| 1528098407 | Julie A Lindstrom | Family Medicine | 145 Memorial Dr, Broken Bow, NE 68822-1378 | 2006-07-04 |
| 1215980297 | Norval Leon Books | Family Medicine | 1245 North 11th Ave, Broken Bow, NE 68822-1141 | 2006-05-18 |
| 1588639827 | Curtiss D Farrell | Family Medicine | 510 S Park Dr, Broken Bow, OK 74728-5330 | 2006-02-21 |
| 1295199792 | Katie Thompson | Family Medicine | 145 Memorial Dr, Broken Bow, NE 68822-1378 | 2016-04-11 |
| Find all providers in BROKEN BOW | ||||
| City | BROKEN BOW |
| Zip Code | 74728 |
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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.