GRADY MEMORIAL HOSPITAL (NPI# 1992854590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992854590 |
Entity Type | Organization |
Organization Name | GRADY MEMORIAL HOSPITAL |
Other Organization Name | PROFESSIONAL MEDICAL SERVICES |
Practice Address |
2220 W Iowa Ave Chickasha OK 73018-2738 |
Practice Telephone | 4057792834 |
Practice Fax Number | 4057792143 |
Mailing Telephone | 4057792834 |
Mailing Fax Number | 4057792143 |
Enumeration Date | 2007-01-10 |
Last Update Date | 2015-05-21 |
Authorized Official Name | MR. WARREN KEAN SPELLMAN (CEO) |
Authorized Official Telephone | 4067792150 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282N00000X | General Acute Care Hospital | 2232 | OK | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 100700820D | 05 |
Other Name | Type Code |
---|---|
Professional Medical Services | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619991098 | Grady Memorial Hospital | Durable Medical Equipment & Medical Supplies | 2100 W Iowa Ave Ste A, Chickasha, OK 73018-2736 | 2006-07-27 |
1578592788 | Grady Memorial Hospital | Family Medicine | 113 South Rush Ave, Rush Springs, OK 73082-0277 | 2006-07-01 |
1538169198 | Grady Memorial Hospital | General Acute Care Hospital | 2220 W Iowa Ave, Chickasha, OK 73018-2738 | 2005-07-26 |
1164941324 | Grady Memorial Hospital | Clinic/Center | 3200 Quail Springs Pkwy Ste 200, Oklahoma City, OK 73134-2699 | 2017-09-19 |
1073032660 | Grady Memorial Hospital | Podiatrist | 2815 W Elk Ave, Duncan, OK 73533-1517 | 2017-09-14 |
1437698784 | Grady Memorial Hospital | Surgery | 1104 E Central Blvd, Anadarko, OK 73005-4406 | 2017-02-20 |
1821467069 | Grady Memorial Hospital | Nurse Anesthetist, Certified Registered | 1002 E Central Blvd, Anadarko, OK 73005-4405 | 2015-09-17 |
1740659986 | Grady Memorial Hospital | Nurse Anesthetist, Certified Registered | 1407 N Whisenant Dr, Duncan, OK 73533-1650 | 2015-09-17 |
1578930871 | Grady Memorial Hospital | Orthopaedic Surgery | 1407 N Whisenant Dr, Duncan, OK 73533-1650 | 2015-08-22 |
1407252596 | Grady Memorial Hospital | General Practice | 1002 E Central Blvd, Anadarko, OK 73005-4405 | 2014-11-17 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | GRADY MEMORIAL HOSPITAL | 2220 Iowa Ave, Chickasha, OK 73018-2738 |
Oklahoma Business Registrations | GRADY MEMORIAL HOSPITAL FOUNDATION, INC | 2220 Iowa Ave, Chickasha, OK 73018 |
Oklahoma Business Registrations | GRADY MEMORIAL HOSPITAL FOUNDATION, INC. |
Street Address |
2220 W IOWA AVE |
City | CHICKASHA |
State | OK |
Zip Code | 73018-2738 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538169198 | Grady Memorial Hospital | General Acute Care Hospital | 2220 W Iowa Ave, Chickasha, OK 73018-2738 | 2005-07-26 |
1487042073 | William Stewart Jr. | Nurse Anesthetist, Certified Registered | 2220 W Iowa Ave, Chickasha, OK 73018-2738 | 2015-01-05 |
1497007322 | Oklahoma Sports and Orthopedics Institute Pllc | Orthopaedic Surgery | 2220 W Iowa Ave, Chickasha, OK 73018-2738 | 2012-10-02 |
1316211600 | Shannon Renee Brady-bardsher | Nurse Practitioner | 2220 W Iowa Ave, Chickasha, OK 73018-2738 | 2012-03-03 |
1912216052 | Daniel Michael Whitmill | Nurse Anesthetist, Certified Registered | 2220 W Iowa Ave, Chickasha, OK 73018-2738 | 2010-10-06 |
1063749729 | Chickasha Hospitalist Services Pllc | Emergency Medicine | 2220 W Iowa Ave, Chickasha, OK 73018-2738 | 2009-11-17 |
1245498781 | Bahiru Belachew Mekete | Internal Medicine | 2220 W Iowa Ave, Chickasha, OK 73018-2738 | 2008-05-31 |
1114142676 | Joe T. Bledose | Internal Medicine | 2220 W Iowa Ave, Chickasha, OK 73018-2738 | 2007-04-17 |
1194847129 | Cynthia D. Wilcox | Dietitian, Registered | 2220 W Iowa Ave, Chickasha, OK 73018-2738 | 2007-04-03 |
1255418596 | Dennis Reed Mcneely | Emergency Medicine | 2220 W Iowa Ave, Chickasha, OK 73018-2738 | 2006-11-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821528662 | Cancer Centers of Southwest Oklahoma, LLC | Internal Medicine | 210 South Mary Bailey Drive, Chickasha, OK 73018 | 2017-06-14 |
1821535915 | Around The Clock Home Care | In Home Supportive Care | 313 W Chickasha Ave, Chickasha, OK 73018 | 2017-01-26 |
1639535537 | Teagan Rae Dorsey | Registered Nurse | 304 S 29th Street, Chickasha, OK 73018 | 2016-01-07 |
1578949327 | Megan Griffin | Dentist | 720 West Grand Ave, Chickasha, OK 73018 | 2015-08-04 |
1174933709 | Mendy Stone | Case Manager/Care Coordinator | 1820 Wets Idaho Ave, Chickasha, OK 73018 | 2014-05-05 |
1407286735 | Martha Allison Shadoan | Social Worker | 804 W. Choctaw, Chickasha, OK 73018 | 2013-11-22 |
1225313521 | Shanna Michelle Rice | Counselor | 198 East Almar Drive, Chickasha, OK 73018 | 2011-10-18 |
1306016175 | Logsdon Chiropractic, Pllc | Clinic/Center | 1807 S. 9th, Chickasha, OK 73018 | 2008-03-07 |
1518148337 | Christopher Lee Ludwell | Chiropractor | 419 Fieldcrest, Chickasha, OK 73018 | 2007-11-20 |
1902098270 | Barbara Ann Reilley Schmidt | Pediatrics | 2222 West Iowa, Chickasha, OK 73018 | 2007-08-10 |
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Taxonomy Code | 282N00000X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538169198 | Grady Memorial Hospital | General Acute Care Hospital | 2220 W Iowa Ave, Chickasha, OK 73018-2738 | 2005-07-26 |
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1942784715 | Iacc/ehi Nw, LLC | General Acute Care Hospital | 4801 S.e. 15th Street, Del City, OK 73115 | 2018-09-18 |
1336623198 | Iacc/ehi Nw, LLC | General Acute Care Hospital | 300 South Rockwell Avenue, Oklahoma City, OK 73128 | 2018-09-18 |
1194209155 | Iacc/ehi Nw, LLC | General Acute Care Hospital | 9417 N Council Rd, Oklahoma City, OK 73162-6207 | 2018-09-17 |
1265971717 | Tulsa Micro Hospital, LLC | General Acute Care Hospital | 717 West 71st Street, Tulsa, OK 74132 | 2017-02-16 |
1811448384 | Emily Hutchinson | General Acute Care Hospital | 6708 E 76th St, Tulsa, OK 74133-3422 | 2016-10-20 |
1730635301 | Post Acute Medical Rehabilitation Hospital of Tulsa, LLC | General Acute Care Hospital | 10020 E 91st St, Tulsa, OK 74133-5835 | 2016-09-01 |
1922551779 | Malissa Calhoon | General Acute Care Hospital | 1004 Se 1st St, Pryor, OK 74361-4801 | 2016-07-28 |
1255884003 | Ou Medical Center | General Acute Care Hospital | 940 Ne 13th St Ste 1360, Oklahoma City, OK 73104-5008 | 2016-07-28 |
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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.