ALVA HOSPITAL AUTHORITY (NPI# 1679684682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679684682 |
| Entity Type | Organization |
| Organization Name | ALVA HOSPITAL AUTHORITY |
| Other Organization Name | SHARE MEDICAL CENTER |
| Practice Address |
800 Share Dr Alva OK 73717-3618 |
| Mailing Address |
800 Share Dr Po Box 727 Alva OK 73717-3618 |
| Practice Telephone | 5803272800 |
| Practice Fax Number | 5804303332 |
| Mailing Telephone | 5803272800 |
| Mailing Fax Number | 5804303332 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-02-28 |
| NPI Deactivation Date | 02/25/2020 |
| NPI Reactivation Date | 2020-02-28 |
| Authorized Official Name | MRS. KANDICE ALLEN (CEO) |
| Authorized Official Telephone | 5803272800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units | ||
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
2251 | OK | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100699830F | 05 | |
| KS | 100099810A | 05 | |
| MO | 015225105 | 05 | |
| BLUE CROSS | 000370080001 | 01 | |
| OK | 100699830A | 05 |
| Other Name | Type Code |
|---|---|
| Share Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447413422 | Alva Hospital Authority | Family Medicine | 410 4th St Ste K, Alva, OK 73717-2363 | 2008-07-09 |
| 1972685816 | Alva Hospital Authority | Skilled Nursing Facility | 730 Share Dr, Alva, OK 73717-3616 | 2006-10-19 |
| 1144534603 | Alva Hospital Authority | Psychologist | 800 Share Dr, Alva, OK 73717-3618 | 2010-07-27 |
| Street Address |
800 SHARE DR |
| City | ALVA |
| State | OK |
| Zip Code | 73717-3618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568475275 | James Robert Colvert Jr. | Internal Medicine | 800 Share Dr, Alva, OK 73717-3618 | 2006-08-14 |
| 1013574789 | Jeremy D Logsdon | Nurse Practitioner | 800 Share Dr, Alva, OK 73717-3618 | 2019-05-28 |
| 1538675624 | Erin Paige Kruckenberg | Family Medicine | 800 Share Dr, Alva, OK 73717 | 2017-12-27 |
| 1801293790 | Darlene Reynolds | Occupational Therapy Assistant | 800 Share Dr, Alva, OK 73717-3618 | 2014-11-20 |
| 1124447305 | Gwyneth Leigh Holderby | Nurse Practitioner | 800 Share Dr, Alva, OK 73717-3618 | 2014-04-15 |
| 1164737458 | Kasey L Swayden | Physician Assistant | 800 Share Dr, Alva, OK 73717-3618 | 2010-08-11 |
| 1144534603 | Alva Hospital Authority | Psychologist | 800 Share Dr, Alva, OK 73717-3618 | 2010-07-27 |
| 1669704243 | Share Medical Center | Durable Medical Equipment & Medical Supplies | 800 Share Dr, Alva, OK 73717-3618 | 2010-02-05 |
| 1023130689 | Bryan Nutter | Nurse Practitioner | 800 Share Dr, Alva, OK 73717-3618 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912382441 | Callie Mosburg | Optometrist | 921 Oklahoma Blvd Ste A, Alva, OK 73717 | 2015-07-27 |
| 1912238924 | Molly Mae Thompson | Counselor | 510 5th St., Alva, OK 73717 | 2010-01-15 |
| 1023214939 | Michelle Baird | Counselor | 429 Barnes Street, Alva, OK 73717 | 2007-06-26 |
| 1619171253 | Stacie Nixon | Counselor | 429 Barnes St, Alva, OK 73717 | 2007-06-14 |
| 1235351552 | Northwest Domestic Crisis Services, Inc. | Community/Behavioral Health | 1330 Oklahoma Blvd., Alva, OK 73717 | 2007-05-03 |
| 1093849440 | North Oklahoma County Mental Health Center | Counselor | 429 Barnes, Alva, OK 73717 | 2007-03-16 |
| 1437222734 | State of Oklahoma | Community/Behavioral Health | 604 Choctaw, Northwest Center for Behavioral Health, Alva, OK 73717 | 2006-11-16 |
| 1396835013 | Holder-southern Drug Company Inc | Pharmacy | 513 Barnes Ave, Alva, OK 73717 | 2006-10-13 |
| 1407968621 | Brent Michael Bogdanovecz | Chiropractor | 317 College Ave, Alva, OK 73717 | 2006-09-01 |
| 1225341803 | Michael Duane Elsey | Counselor | 510 5th St., Alva, OK 73717 | 2010-07-23 |
| Find all providers in zip 73717 | ||||
| Taxonomy Code | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992155386 | Jami Grantz | General Acute Care Hospital | 1000 Kingfisher Reg Hosp Dr, Kingfisher, OK 73750 | 2016-06-15 |
| 1619232972 | Diagnostic Imaging Associates | General Acute Care Hospital | 4500 S Garnett Rd, Ste 300, Tulsa, OK 74146 | 2012-07-11 |
| 1497057699 | Craig County Hospital Authority | General Acute Care Hospital | 343 S. Commercial St., Welch, OK 74369-0000 | 2010-11-22 |
| 1538390497 | Texoma Medical Center | General Acute Care Hospital | 5115 Roadrunner Drive, Durant, OK 74701 | 2009-07-27 |
| 1265602056 | Craig County Hospital Authority | General Acute Care Hospital | 26300 S Highway 125, Afton, OK 74331-6282 | 2008-03-07 |
| 1225216849 | Ahs Bristow Hospital | General Acute Care Hospital | 700 W 7th Ave Ste 6, Bristow, OK 74010-2302 | 2008-02-06 |
| 1972780252 | Purcell Municipal Hospital | General Acute Care Hospital | 504 Williams, Maysville, OK 73057 | 2008-01-29 |
| 1598964637 | Purcell Municipal Hospital | General Acute Care Hospital | 504 Williams Street, Maysville, OK 73057-0660 | 2007-07-17 |
| 1508947987 | Dominick 's Anesthesia Service Inc | General Acute Care Hospital | 17781 S.543 Road, Tahlequah, OK 74464-2000 | 2006-10-18 |
| 1972539567 | Sequoyah County City of Sallisaw Hospital Authority | General Acute Care Hospital | 213 E Redwood Ave, Sallisaw, OK 74955-2811 | 2006-06-24 |
| 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.