NPIMap

Organization Active NPI

Marshall County Hma, LLC

Doing business as AllianceHealth Madill

  • Medicare Defined Swing Bed Hospital Unit
  • Madill, OK
National Provider Identifier
1053414037
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
2282 Issued in OK
Legal business name
MARSHALL COUNTY HMA, LLC
Doing business as
AllianceHealth Madill
Practice address
901 S 5TH Ave
Madill, OK 73446-3640
Phone
(580) 795-3384
NPI assigned
Sep 6, 2006
Last updated
Apr 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 2282 OK Primary

Addresses

Primary practice location

901 S 5TH Ave
Madill, OK 73446-3640

Mailing address

901 S 5TH Ave
Madill, OK 73446-3640
Phone (580) 795-3384

Other identifiers 1

IdentifierTypeStateIssuer
100700440AMedicaidOK

Other names 1

  • AllianceHealth Madill Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120504000394 OK Part A Provider - Critical Access Hospital 5193985653 Practice locations: Madill, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053414037. Details of each certification follow.

Hospital certification: CCN 37Z326

Legal name
MARSHALL COUNTY HMA, LLC
Doing business as
ALLIANCEHEALTH MADILL
Organization structure
LLCProprietary
Incorporated
Dec 22, 2011 in OK
Enrollment address
901 S 5TH Ave
Madill, OK 73446-3640
Hospital Swing-Bed Unit

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).

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.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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, 2022
Corporate DirectorPresident/Board Member Mar 1, 2022
Nathaniel K Summar Individual Corporate DirectorVP Revenue Management Jul 14, 2017
Justin D Pitt Individual Corporate OfficerExec VP/Assist Sec/Board Member Mar 1, 2022
Corporate DirectorExec VP/Assist Sec/Board Member Mar 1, 2022
Health Management Associates LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Jan 27, 2014 99%
William Bradley Cash Individual Corporate OfficerExec VP Mar 1, 2022
Hma-Tri Holdings LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2015 100%
Community Health Systems Inc Organization, Franklin, TN Corporation 5% Or Greater Indirect Ownership Interest Jan 27, 2014 100%
Jason Kevin Johnson Individual Corporate OfficerSenior VP Jan 6, 2020
Central States Hma Holdings LLC Organization, Franklin, TN LLC 5% Or Greater Direct Ownership Interest Mar 1, 2015 100%
Kevin Duane Samrow Individual W-2 Managing EmployeeCeo Sep 16, 2019
Roman Gabriel Ottinger Individual Corporate OfficerSenior VP/Treasurer Jan 6, 2020
Health Management Associates LP Organization, Franklin, TN 5% Or Greater Indirect Ownership Interest Jan 27, 2014 99%
Paula M Lalor Individual Corporate DirectorDirector PFS Apr 1, 2017
Edna S Buffington-Price Individual Corporate DirectorVP/Authorized Official Mar 1, 2022
Christopher G Cobb Individual Corporate OfficerVP/Secretary Mar 1, 2022
CHS Community Health Systems Inc Organization, Franklin, TN Corporation 5% Or Greater Indirect Ownership Interest Jan 27, 2014 100%

Facilities with the same owner 120

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

  • Durant Hma LLC

    dba AllianceHealth Durant

    • General Acute Care Hospital
    • Durant, OK
    • NPI 1770522906

    Central States Hma Holdings LLC, CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Health Management Associates LP, Hma-Tri Holdings LLC

    CMS ownership
  • Marshall County Hma LLC

    dba AllianceHealth Durant Clinics

    • Rural Health Clinic/Center
    • Durant, OK
    • NPI 1063910925

    Central States Hma Holdings LLC, CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Health Management Associates LP, Hma-Tri Holdings LLC

    CMS ownership
  • Marshall County Hma LLC

    dba AllianceHealth Madill Clinic

    • Rural Health Clinic/Center
    • Madill, OK
    • NPI 1992246565

    Central States Hma Holdings LLC, CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Health Management Associates LP, Hma-Tri Holdings LLC

    CMS ownership
  • Marshall County Hma, LLC

    dba AllianceHealth Atoka Clinic

    • Rural Health Clinic/Center
    • Atoka, OK
    • NPI 1003670647

    Central States Hma Holdings LLC, CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Health Management Associates LP, Hma-Tri Holdings LLC

    CMS ownership
  • Marshall County Hma, LLC

    dba AllianceHealth Kingston Clinic

    • Rural Health Clinic/Center
    • Kingston, OK
    • NPI 1326802968

    Central States Hma Holdings LLC, CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Health Management Associates LP, Hma-Tri Holdings LLC

    CMS ownership
  • Marshall County Hma, LLC

    dba AllianceHealth Madill

    • Critical Access Hospital
    • Madill, OK
    • NPI 1467476556

    Central States Hma Holdings LLC, CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Health Management Associates LP, Hma-Tri Holdings LLC

    CMS ownership
  • Affinity Hospital LLC

    dba Grandview Medical Center

    • General Acute Care Hospital
    • Birmingham, AL
    • NPI 1023061405

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC

    CMS ownership
  • Affinity Hospital LLC

    dba Grandview Medical Center

    • Psychiatric Hospital Unit
    • Birmingham, AL
    • NPI 1043263221

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC

    CMS ownership
  • Affinity Hospital LLC

    dba Grandview Medical Center

    • Rehabilitation Hospital Unit
    • Birmingham, AL
    • NPI 1720001019

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC

    CMS ownership
  • Bluffton Health System LLC

    dba Bluffton Regional Medical Center

    • Medicare Defined Swing Bed Hospital Unit
    • Bluffton, IN
    • NPI 1356839591

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC

    CMS ownership
  • Bluffton Health System LLC

    dba Bluffton Regional Medical Center

    • General Acute Care Hospital
    • Bluffton, IN
    • NPI 1376594366

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC

    CMS ownership
  • Brandon Hma LLC

    dba Merit Health Rankin

    • General Acute Care Hospital
    • Brandon, MS
    • NPI 1205882669

    CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Health Management Associates LP, Hma-Tri Holdings LLC

    CMS ownership
View all 120

Practitioners & affiliated clinicians

Affiliated clinicians 5

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

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1053414037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S 5TH AVE",
            "city": "MADILL",
            "state": "OK",
            "postal_code": "734463640",
            "telephone_number": "580-795-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S 5TH AVE",
            "city": "MADILL",
            "state": "OK",
            "postal_code": "734463640",
            "telephone_number": "580-795-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL COUNTY HMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "DIRECTOR/DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "629-215-3953"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "OK",
            "license": "2282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100700440A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AllianceHealth Madill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madill, OK

Sources for this page

Verify at the official NPI Registry.