SRP Guymon, LLC

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

License

2249 Issued in OK

Legal business name

SRP GUYMON, LLC

Doing business as

Memorial Hospital of Texas County

Practice address

520 Medical Dr
Guymon, OK 73942-4499

Phone

(580) 338-6515

NPI assigned

Apr 24, 2018

Organization subpart

No

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

Authorized official

Name

Douglas Swim

Title

Ceo

Phone

(405) 896-7901

Specialties & licenses 1

Addresses

Other names 1

• Memorial Hospital of Texas County Doing business as

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524528000000",
    "number": "1063900215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 MEDICAL DR",
            "city": "GUYMON",
            "state": "OK",
            "postal_code": "739424499",
            "telephone_number": "580-338-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 MEDICAL DR",
            "city": "GUYMON",
            "state": "OK",
            "postal_code": "739424499",
            "telephone_number": "580-338-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRP GUYMON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-04-24",
        "status": "A",
        "authorized_official_last_name": "SWIM",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-896-7901"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "OK",
            "license": "2249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Hospital of Texas County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alisa R Sheldon
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• Solutions on Staff, LLC
• Specialty Clinics of St Anne PLLC
• Nicole L Spry
• Carmin Angel Stark, BS
• State of Oklahoma (Northwest Center For Behavioral Health)
• Jessica Brianne Stedje
• Judy Royce Stedje, MA LPC LLC MEMBER
• Laura H. Stevens, OTR/L

• Critical Access Hospital in Guymon, OK
• Providers in Guymon, OK by specialty
• Critical Access Hospital in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.