NPIMap

Organization Active NPI

Latimer County Hospital Authority

Doing business as Latimer County General Hospital

  • Rural Acute Care Hospital
  • Wilburton, OK
National Provider Identifier
1053353631
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
2204 Issued in OK
Legal business name
LATIMER COUNTY HOSPITAL AUTHORITY
Doing business as
Latimer County General Hospital
Practice address
806 Highway 2 N
Wilburton, OK 74578-3625
Phone
(918) 465-2391
Fax
(918) 465-9350
NPI assigned
Jun 11, 2006
Last updated
Jul 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Authorized official

Name
Mrs. Susan Nix, MSN, RN
Title
Ceo
Phone
(918) 465-2391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X 2204 OK Primary

Addresses

Primary practice location

806 Highway 2 N
Wilburton, OK 74578-3625

Mailing address

806 Highway 2 North
Wilburton, OK 74578-3625
Phone (918) 465-2391

Other identifiers 2

IdentifierTypeStateIssuer
100700860BMedicaidOK
100700860AMedicaidOK

Other names 1

  • Latimer County General Hospital Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531094400000",
    "number": "1053353631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 HIGHWAY 2 NORTH",
            "city": "WILBURTON",
            "state": "OK",
            "postal_code": "745783625",
            "telephone_number": "918-465-2391",
            "fax_number": "918-465-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 HIGHWAY 2 N",
            "city": "WILBURTON",
            "state": "OK",
            "postal_code": "745783625",
            "telephone_number": "918-465-2391",
            "fax_number": "918-465-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATIMER COUNTY HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2018-07-09",
        "status": "A",
        "authorized_official_last_name": "NIX",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-465-2391",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN, RN"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "OK",
            "license": "2204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100700860B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100700860A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Latimer County General Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Latimer County General Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilburton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.