NPIMap

Organization Active NPI

Rural Wellness Stroud Inc.

Doing business as Rural Wellness Stroud Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Stroud, OK
National Provider Identifier
1003572678
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
RURAL WELLNESS STROUD INC.
Doing business as
Rural Wellness Stroud Hospital
Practice address
2308 W Highway 66
Stroud, OK 74079-6729
Phone
(918) 968-3571
NPI assigned
Nov 9, 2021
Last updated
Oct 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Elizabeth Pusey, MDNPI 1366548232
Title
President
Phone
(949) 322-4337

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X NU Primary

Addresses

Primary practice location

2308 W Highway 66
Stroud, OK 74079-6729

Mailing address

2524 N Broadway
Edmond, OK 73034-4172
Phone (949) 322-4337

Other names 1

  • Rural Wellness Stroud Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220324002932 OK Part A Provider - Critical Access Hospital 7113310491 Practice locations: Stroud, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003572678. Details of each certification follow.

Hospital certification: CCN 37Z316

Legal name
RURAL WELLNESS STROUD INC
Doing business as
RURAL WELLNESS STROUD HOSPITAL
Organization structure
CorporationProprietary
Incorporated
Aug 27, 2021 in OK
Enrollment address
2308 W Highway 66
Stroud, OK 74079-6729
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Rural Wellness Stroud Hospital2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

361 Hospital Rd
Ste 528
Newport Beach, CA 92663
Phone (949) 645-2321

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Angelia Sylsberry Individual W-2 Managing EmployeeAd; Jul 28, 2024 100%
Elizabeth J Pusey Individual 5% Or Greater Indirect Ownership Interest100 Nov 1, 2021
Corporate DirectorPresident Nov 1, 2021 100%
Rural Wellness Healthcare LLC Organization, Edmond, OK LLC 5% Or Greater Direct Ownership Interest Nov 1, 2021 100%
Avem Staffing Resources, LLC Organization, Oklahoma City, OK LLC Operational/Managerial Control Nov 1, 2021
Rural Hospital Acquisition LLC Organization, Oklahoma City, OK LLC 5% Or Greater Security Interest Nov 1, 2021

Facilities with the same owner 7

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1003572678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 N BROADWAY",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730344172",
            "telephone_number": "949-322-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 W HIGHWAY 66",
            "city": "STROUD",
            "state": "OK",
            "postal_code": "740796729",
            "telephone_number": "918-968-3571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL WELLNESS STROUD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-09",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "PUSEY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-322-4337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rural Wellness Stroud Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stroud, OK

Sources for this page

Verify at the official NPI Registry.