Organization Active NPI

Prague Healthcare Alliance Inc

Doing business as Prague Municipal Hospital

  • Emergency Medicine Physician
  • Prague, OK
National Provider Identifier
1013133420
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
PRAGUE HEALTHCARE ALLIANCE INC
Doing business as
Prague Municipal Hospital
Practice address
1322 Klabzuba
Prague, OK 74864
Phone
(405) 567-4922
Fax
(405) 567-4290
NPI assigned
Apr 17, 2007
Last updated
Dec 27, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
PRAGUE HEALTHCARE ALLIANCE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

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

Authorized official

Name
Mrs. Joan Walters
Title
Ceo Administrator
Phone
(405) 567-4922

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X
Emergency Medicine Physician 207P00000X Primary

Addresses

Primary practice location

1322 Klabzuba
Prague, OK 74864

Mailing address

PO Box S
Prague, OK 74864-1090
Phone (405) 567-4922

Other names 1

  • Prague Municipal Hospital Doing business as

National Provider Directory

National Provider Directory
Part of
Prague Healthcare Alliance Inc

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1013133420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX S",
            "city": "PRAGUE",
            "state": "OK",
            "postal_code": "748641090",
            "telephone_number": "405-567-4922",
            "fax_number": "405-567-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 KLABZUBA",
            "city": "PRAGUE",
            "state": "OK",
            "postal_code": "74864",
            "telephone_number": "405-567-4922",
            "fax_number": "405-567-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAGUE HEALTHCARE ALLIANCE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRAGUE HEALTHCARE ALLIANCE INC",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "CEO ADMINISTRATOR",
        "authorized_official_telephone_number": "405-567-4922",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prague Municipal Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prague, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.