NPIMap

Organization Active NPI

Carnegie Tri-County Municipal Hospital Management, Inc.

Doing business as Carnegie Tri-County Municipal Hospital

  • Critical Access Hospital
  • Carnegie, OK
National Provider Identifier
1043323447
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
2215 Issued in OK
Legal business name
CARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL MANAGEMENT, INC.
Doing business as
Carnegie Tri-County Municipal Hospital
Practice address
102 North Broadway
Carnegie, OK 73015
Phone
(580) 654-1050
Fax
(580) 654-2111
NPI assigned
Aug 17, 2006
Last updated
Aug 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Authorized official

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
ParamedicGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 146L00000X 102 OK
Emergency Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207P00000X
Diagnostic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0202X
Critical Access Hospital 282NC0060X 2215 OK Primary
Family Nurse PractitionerGroup: 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 names 1

  • Carnegie Tri-County Municipal Hospital Doing business as

Medicare participation

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

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043323447. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Nov 4, 1996 in OK
Enrollment address
102 N Broadway
Carnegie, OK 73015-0097
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).

Care Compare: Hospital

Medicare Care Compare
Listed as
Carnegie Tri-County Municipal HospitalCCN 371334 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Tri County Health Assoc2 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.

Interoperability endpoints

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

Ownership & related parties

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 OfficerCeo Jan 1, 2020
Chastity Sink Individual W-2 Managing EmployeeBusiness Office Manager Mar 14, 2016
Operational/Managerial ControlBusiness 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%

Owners & managing parties with NPI records 2

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

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 ClinicCarnegie, OK, CCN 378542 Rural health clinic Operational/Managerial Control Mar 14, 2016

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Practitioners 23

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 23

Affiliated clinicians 21

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

View all 21

NPI Registry JSON

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

{
    "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carnegie Tri-County Municipal Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carnegie, OK

Sources for this page

Verify at the official NPI Registry.