NPIMap

Organization Active NPI

McCurtain Memorial Medical Management, Inc.

  • Critical Access Hospital
  • Idabel, OK
National Provider Identifier
1063900975
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
2202 Issued in OK
Legal business name
MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC.
Practice address
1301 E Lincoln Rd
Idabel, OK 74745
Phone
(580) 208-3104
NPI assigned
Apr 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Authorized official

Name
Charles Cave
Title
Cfo
Phone
(580) 208-3104

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X PENDING OK
Critical Access Hospital 282NC0060X 2202 OK Primary

Addresses

Primary practice location

1301 E Lincoln Rd
Idabel, OK 74745

Mailing address

1301 E Lincoln Rd
Idabel, OK 74745-7300
Phone (580) 208-3104

Other names 1

  • McCurtain Memorial Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180514000234 OK Part A Provider - Critical Access Hospital 8022926252 Receives reassigned benefits from 6 practitioners
Practice locations: Idabel, OK
O20180817000206 OK Part A Provider - Critical Access Hospital 8022926252 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Idabel, OK

Hospital certification: CCN 371342

Legal name
MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC.
Doing business as
MCCURTAIN MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jul 1, 2018
Last certification
May 21, 2024
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
May 5, 1975 in OK
Enrollment address
1301 E Lincoln Rd
Idabel, OK 74745-7300
Other Hospital Practice Location

Hospital certification: CCN 37Z342

Legal name
MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC.
Doing business as
MCCURTAIN MEMORIAL HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
May 5, 1975 in OK
Enrollment address
1301 E Lincoln Rd
Idabel, OK 74745-7300
Other Hospital Practice Location

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).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
McCurtain Memorial HospitalCCN 371342
Overall star rating
4 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Brian Ashley Whitfield Individual Corporate OfficerChief Executive Officer Mar 24, 2022
Julie Matthews Individual W-2 Managing Employee Mar 23, 2022
Kena C Allen Individual Corporate OfficerChief Financial Officer Mar 6, 2022
Ginny Straley Individual Corporate DirectorBoard of Directors President Jan 1, 2024
Corporate DirectorBoard Chairman Jan 1, 2024
Heather Burwell Individual W-2 Managing EmployeeRevenue Cycle Director Jan 1, 2024
Janice Johnson Individual W-2 Managing EmployeeCredentialing Specialist Jan 13, 2025
McCurtain Memorial Medical Management, Inc. Organization, Idabel, OK Corporation, Non-profit 5% Or Greater Direct Ownership Interest May 5, 1975 100%

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
McCurtain Memorial HospitalIdabel, OK, CCN 37Z342 Hospital 5% Or Greater Direct Ownership Interest (100%) May 5, 1975
McCurtain Memorial Rural Health Clinic IdabelIdabel, OK, CCN 378554 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jul 1, 2019
Jul 1, 2019
McCurtain Memorial Urgent Care ClinicBroken Bow, OK, CCN 378558 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 1, 2019
Jul 1, 2019
McCurtain Memorial Clinic/Valliant HealthcareValliant, OK, CCN 378553 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Apr 1, 2021
Apr 1, 2021

Owned or controlled facilities with NPI records 5

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

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 38

Affiliated clinicians 99

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

View all 99

NPI Registry JSON

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585526400000",
    "number": "1063900975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 E LINCOLN RD",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747457300",
            "telephone_number": "580-208-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E LINCOLN RD",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "74745",
            "telephone_number": "580-208-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-26",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A",
        "authorized_official_last_name": "CAVE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "580-208-3104"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "OK",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "OK",
            "license": "2202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McCurtain Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "McCurtain Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Idabel, OK

Sources for this page

Verify at the official NPI Registry.