NPIMap

Organization Active NPI

Okeene Municipal Hospital and Schallmo Authority

Doing business as Okeene Hospital Medical Clinic

  • Primary Care Clinic/Center
  • Okeene, OK
National Provider Identifier
1053478024
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
OKEENE MUNICIPAL HOSPITAL AND SCHALLMO AUTHORITY
Doing business as
Okeene Hospital Medical Clinic
Practice address
124 N 6TH St
Okeene, OK 73763
Phone
(580) 822-4404
Fax
(580) 822-4403
NPI assigned
Jan 2, 2007
Last updated
Mar 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Authorized official

Name
Clark Houser
Title
Ceo
Phone
(817) 914-1730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

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 1

  • Okeene Hospital Medical Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050212000003 OK Part B Supplier - Clinic/Group Practice 3971583535 Receives reassigned benefits from 10 practitioners
Practice locations: Okeene, OK

Other NPIs with the same Medicare PAC ID 2

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D0716091Okeene Medical Clinic124 North 6TH Street, Okeene, OK 73763Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Okeene Municipal HospitalOkeene, OK, CCN 371327 Hospital Operational/Managerial Control Sep 1, 2004
Okeene Municipal HospitalOkeene, OK, CCN 37Z327 Hospital Operational/Managerial Control Sep 1, 2004

Owned or controlled facilities with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1053478024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 N 6TH ST",
            "city": "OKEENE",
            "state": "OK",
            "postal_code": "737639135",
            "telephone_number": "580-822-4404",
            "fax_number": "580-822-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N 6TH ST",
            "city": "OKEENE",
            "state": "OK",
            "postal_code": "73763",
            "telephone_number": "580-822-4404",
            "fax_number": "580-822-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKEENE MUNICIPAL HOSPITAL AND SCHALLMO AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "HOUSER",
        "authorized_official_first_name": "CLARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-914-1730"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Okeene Hospital Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Okeene, OK

Sources for this page

Verify at the official NPI Registry.