Organization Active NPI

Sayre Memorial Hospital, Inc.

  • Psychiatric Hospital Unit
  • Sayre, OK
National Provider Identifier
1063604502
Registry record updated Jun 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
2207 Issued in OK
Legal business name
SAYRE MEMORIAL HOSPITAL, INC.
Practice address
911 Hospital Drive
Sayre, OK 73662-1206
Phone
(580) 928-5541
Fax
(580) 928-3523
NPI assigned
Aug 17, 2007
Last updated
Jun 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2015

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

Authorized official

Name
Donald E Bates Jr.
Title
Ceo
Phone
(580) 928-5541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 2207 OK Primary

Addresses

Primary practice location

911 Hospital Drive
Sayre, OK 73662-1206

Mailing address

911 Hospital Drive
Sayre, OK 73662-1206
Phone (580) 928-5541

Other identifiers 1

IdentifierTypeStateIssuer
100700160IMedicaidOK

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1063604502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 HOSPITAL DRIVE",
            "city": "SAYRE",
            "state": "OK",
            "postal_code": "736621206",
            "telephone_number": "580-928-5541",
            "fax_number": "580-928-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 HOSPITAL DRIVE",
            "city": "SAYRE",
            "state": "OK",
            "postal_code": "736621206",
            "telephone_number": "580-928-5541",
            "fax_number": "580-928-3523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAYRE MEMORIAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "580-928-5541",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "OK",
            "license": "2207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100700160I",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sayre, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; 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.