NPIMap

Carnegie Tri-County Municipal Hospital Management, Inc.

Organization Active NPI Critical Access Hospital · Carnegie, OK

NPI 1043323447 · NPPES record last updated Aug 29, 2023

Key facts

NPI
1043323447
Entity type
Organization (NPI type 2)
Primary specialty
Critical Access Hospital 282NC0060X
License
2215 (OK)
Legal business name
CARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL MANAGEMENT, INC.
Practice address
102 North Broadway
Carnegie, OK 73015
Phone
(580) 654-1050
Fax
(580) 654-2111
NPI assigned
Aug 17, 2006
Organization subpart
No

Authorized official

Name
Mr. Shane Bradley Dunning
Title
Ceo
Phone
(580) 654-1050

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 2

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

Corporate family (same tax ID) 1

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

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

Facilities with the same owner 2

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

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 21

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

Medicare Care Compare: Hospital

Listed as
Carnegie Tri-County Municipal Hospital CCN 371334
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OK

Hospital certification: CCN 371334

Legal name
CARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL MANAGEMENT INC
Doing business as
CARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jan 4, 2006
Last certification
Jul 6, 2022
Beds
21
Ownership / control type
Hospital district or authority
Organization structure
Corporation · Non-profit
Incorporated
Nov 4, 1996 in OK
Enrollment address
102 N Broadway
Carnegie, OK 73015-0097
Other Hospital Practice Location

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Nathan Richmond
Individual 		Corporate Officer
Ceo		 Jan 1, 2020
Chastity Sink
Individual 		W-2 Managing Employee
Business Office Manager		 Mar 14, 2016
Operational/Managerial Control
Business Office Manager		 Mar 14, 2016
Carnegie Tri-County Municipal Hospital Management Inc
Organization · Carnegie, OK
Corporation, Management services company, Non-profit 		Operational/Managerial Control Mar 14, 2016
Carnegie Tri County Municipal Hospital Authority
Organization · Carnegie, OK
Created for acquisition 		5% Or Greater Direct Ownership Interest Apr 1, 2005 100%

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Carnegie Medical Clinic
Carnegie, OK · CCN 378542		 Rural health clinic Operational/Managerial Control Mar 14, 2016

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20061104000625 OK Part a Provider - Critical Access Hospital 6800835935 Receives reassigned benefits from 17 practitioners
Practice locations: Carnegie, OK

National Provider Directory

Tax ID family
Carnegie Tri-County Mun (2 organizations share this tax ID)

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/carntri-0870329c

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 146L00000X 102 OK
Emergency Medicine Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 207P00000X
Diagnostic Radiology Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 2085R0202X
Critical Access Hospital 282NC0060X 2215 OK Yes
Family Nurse Practitioner
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 363LF0000X

Addresses

Primary practice location

102 North Broadway
Carnegie, OK 73015

Mailing address

PO Box 97
Carnegie, OK 73015-0097
Phone (580) 654-1050

Other identifiers

IdentifierTypeStateIssuer
100699690CMedicaidOK
100699690AMedicaidOK

Other names

  • Carnegie Tri-County Municipal Hospital Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 29, 2023.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1043323447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "CARNEGIE",
            "state": "OK",
            "postal_code": "730150097",
            "telephone_number": "580-654-1050",
            "fax_number": "580-654-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 NORTH BROADWAY",
            "city": "CARNEGIE",
            "state": "OK",
            "postal_code": "73015",
            "telephone_number": "580-654-1050",
            "fax_number": "580-654-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "DUNNING",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "580-654-1050",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "OK",
            "license": "102",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "OK",
            "license": "2215",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100699690C",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100699690A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carnegie Tri-County Municipal Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carnegie, OK

All providers in Carnegie, OK · Critical Access Hospital in Oklahoma

Sources for this page

Verify at the official NPI Registry.