Organization Active NPI

Marshall County Hma, LLC

Doing business as AllianceHealth Atoka Clinic

  • Rural Health Clinic/Center
  • Atoka, OK
National Provider Identifier
1003670647
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MARSHALL COUNTY HMA, LLC
Doing business as
AllianceHealth Atoka Clinic
Practice address
1592 S Virginia Ave
Atoka, OK 74525-3246
Phone
(580) 889-6621
Fax
(580) 889-6435
NPI assigned
Feb 13, 2024
Last updated
Feb 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Authorized official

Name
Paula Lalor
Title
Sr. Director/Delegated Official
Phone
(629) 215-3953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

1592 S Virginia Ave
Atoka, OK 74525-3246

Mailing address

1592 S Virginia Ave
Atoka, OK 74525-3246
Phone (580) 889-6621

Other names 1

  • AllianceHealth Atoka Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240322001528 OK Part A Provider - Rural Health Clinic 5193985653 Practice locations: Atoka, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003670647. Details of each certification follow.

Rural health clinic certification: CCN 378562

Legal name
MARSHALL COUNTY HMA, LLC
Doing business as
ALLIANCEHEALTH ATOKA CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Aug 22, 2025
Last certification
Aug 22, 2025
Ownership / control type
1B
Organization structure
LLCProprietary
Incorporated
Dec 22, 2011 in OK
Enrollment address
1592 S Virginia Ave
Atoka, OK 74525-3246
Related CCNs
371326

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

Other NPIs with the same Medicare PAC ID 6

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D0475421Alliancehealth Atoka Clinic1592 S Virginia Ave, Atoka, OK 74525Certificate of waiverDec 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Alliancehealth Madill7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

101 Sherrard St
Colbert, OK 74733
Phone (580) 296-4500

906 Hospital Dr
Madill, OK 73446
Phone (580) 795-0212

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Kevin J Hammons Individual Corporate OfficerPresident/Board Member Mar 1, 2024
Corporate DirectorPresident Mar 1, 2024
Nathaniel K Summar Individual Corporate DirectorVP Revenue Management Mar 1, 2024
Justin D Pitt Individual Corporate OfficerExec VP/Assist Sec/Board Memebr Mar 1, 2024
Corporate DirectorExec VP/Assist Sec Mar 1, 2024
Health Management Associates LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Mar 1, 2024 100%
William Bradley Cash Individual Corporate OfficerExecutive VP Mar 1, 2024
Hma-Tri Holdings LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Mar 1, 2024 100%
Community Health Systems Inc Organization, Franklin, TN Corporation 5% Or Greater Indirect Ownership Interest Mar 1, 2024 100%
Jason Kevin Johnson Individual Corporate OfficerSenior VP Mar 1, 2024
Central States Hma Holdings LLC Organization, Franklin, TN LLC 5% Or Greater Direct Ownership Interest Mar 1, 2024 100%
Roman Gabriel Ottinger Individual Corporate OfficerSenior VP Mar 1, 2024
Health Management Associates LP Organization, Franklin, TN 5% Or Greater Indirect Ownership Interest Mar 1, 2024 99%
Paula M Lalor Individual Corporate DirectorSr. Director / Delegated Official Mar 1, 2024
Edna S Buffington-Price Individual Corporate DirectorVice President Mar 1, 2024
Shelton T Williams Individual W-2 Managing EmployeeCeo Mar 1, 2024
Christopher G Cobb Individual Corporate OfficerVP/Secretary Mar 1, 2024
CHS Community Health Systems Inc Organization, Franklin, TN Corporation 5% Or Greater Indirect Ownership Interest Mar 1, 2024 100%

Facilities with the same owner 120

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

View all 120

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1003670647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1592 S VIRGINIA AVE",
            "city": "ATOKA",
            "state": "OK",
            "postal_code": "745253246",
            "telephone_number": "580-889-6621",
            "fax_number": "580-889-6435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1592 S VIRGINIA AVE",
            "city": "ATOKA",
            "state": "OK",
            "postal_code": "745253246",
            "telephone_number": "580-889-6621",
            "fax_number": "580-889-6435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL COUNTY HMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "SR. DIRECTOR/DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "629-215-3953"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AllianceHealth Atoka Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atoka, OK

Sources for this page

Verify at the official NPI Registry.