Okeene Municipal Hospital and Schallmo Authority
Organization Active NPI Primary Care Clinic/Center · Okeene, OK
NPI 1053478024 · NPPES record last updated Mar 4, 2026
Key facts
- NPI
- 1053478024
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- OKEENE MUNICIPAL HOSPITAL AND SCHALLMO AUTHORITY
- Practice address
- 124 N 6TH St
Okeene, OK 73763 - Phone
- (580) 822-4404
- Fax
- (580) 822-4403
- NPI assigned
- Jan 2, 2007
- Organization subpart
- No
Authorized official
- Name
- Clark Houser
- Title
- Ceo
- Phone
- (817) 914-1730
Owned or controlled facilities with NPI records 2
Other NPIs with the same Medicare PAC ID 2
Practitioners 16
-
Cayci L Brickman, MD
-
Mason Ray Howe, MD
-
Amy Lee Williams, PA-C
-
Kirt Eugene Bierig, D.O.
-
Beth R Holderby Acre, NP-C
-
Jeremy Michael Hurford, PA-C
-
Kent Thomas King, M.D.
-
Landon James Nault, PA-C
-
Thomas Clayton Sander, PA-C
-
Douglas Lee Kruckner, M.D.
-
Ginger Anderson, APRN CNP
-
Jana Nikole Morris, PA-C
-
Dave Michael Wilcox, PA-C
-
Steven Joseph Bednarczyk, D.O.
-
Hinakumari David Rey, PA-C
-
Sherri Salyer, CRNA
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D0716091 | Okeene Medical Clinic | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Okeene Municipal Hospital |
Hospital | Operational/Managerial Control | Sep 1, 2004 |
| Okeene Municipal Hospital |
Hospital | Operational/Managerial Control | Sep 1, 2004 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050212000003 | OK | Part B Supplier - Clinic/Group Practice | 3971583535 |
Receives reassigned benefits from 10 practitioners Practice locations: Okeene, OK |
National Provider Directory
Locations
124 N 6th St
Okeene, OK 73763
Phone (580) 822-4404
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Yes |
Addresses
Primary practice location
124 N 6TH St
Okeene, OK 73763
Mailing address
124 N 6TH St
Okeene, OK 73763-9135
Phone (580) 822-4404
Other names
- Okeene Hospital Medical Clinic
Other providers in Okeene, OK
- James Sims MSN RN Arnp LLC
- Henry D Lagan
- Luckie Drug LLC
- Jim W Luckie
- Okeene Dentistry & Braces
- Okeene Municipal Hospital and Schallmo Authority
- Okeene Municipal Hospital and Schallmo Authority
- Okeene Municpal Hospital and Schallmo Authority
- Okeene Public Schools
- Kenneth D Parrott
All providers in Okeene, OK · Primary Care Clinic/Center in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.