NPIMap

Organization Active NPI

Marshall County Hma LLC

Doing business as AllianceHealth Durant Clinics

  • Rural Health Clinic/Center
  • Durant, OK
National Provider Identifier
1063910925
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
2282 Issued in OK
Legal business name
MARSHALL COUNTY HMA LLC
Doing business as
AllianceHealth Durant Clinics
Practice address
1610 W University Blvd
Durant, OK 74701-3096
Phone
(580) 924-3400
Fax
(580) 924-2000
NPI assigned
Jan 25, 2018
Last updated
Apr 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Authorized official

Name
Paula Lalor
Title
Director
Phone
(629) 215-3953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 2282 OK Primary

Addresses

Primary practice location

1610 W University Blvd
Durant, OK 74701-3096

Mailing address

1610 W University Blvd
Durant, OK 74701-3096
Phone (580) 924-3400

Other names 1

  • AllianceHealth Durant Clinics Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180308002189 OK Part A Provider - Rural Health Clinic 5193985653 Practice locations: Durant, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063910925. Details of each certification follow.

Rural health clinic certification: CCN 378519

Legal name
MARSHALL COUNTY HMA, LLC
Doing business as
ALLIANCE HEALTH DURANT CLINICS
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 13, 2018
Last certification
Jul 15, 2021
Ownership / control type
1B
Organization structure
LLCProprietary
Incorporated
Dec 22, 2011 in OK
Enrollment address
1610 W University Blvd
Durant, OK 74701-3096
Related CCNs
371326

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).

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
37D0683144Alliance Health Madill Durant Clinic1610 W University Blvd, Durant, OK 74701Certificate of waiverMar 31, 2027

National Provider Directory

National Provider Directory
Tax ID family
Alliancehealth Madill7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Kevin J Hammons Individual Corporate OfficerPresident/Board Member Mar 1, 2022
Corporate DirectorPresident/Board Member Mar 1, 2022
Nathaniel K Summar Individual Corporate DirectorVP Revenue Management Apr 1, 2018
Justin D Pitt Individual Corporate OfficerExec VP/Assist Sec/Board Member Mar 1, 2022
Corporate DirectorExec VP/Assist Sec/Board Member Mar 1, 2022
Health Management Associates LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Apr 1, 2018 99%
William Bradley Cash Individual Corporate OfficerExec VP Mar 1, 2022
Hma-Tri Holdings LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Apr 1, 2018 100%
Community Health Systems Inc Organization, Franklin, TN Corporation 5% Or Greater Indirect Ownership Interest Apr 1, 2018 100%
Jason Kevin Johnson Individual Corporate OfficerSenior VP Jan 6, 2020
Central States Hma Holdings LLC Organization, Franklin, TN LLC 5% Or Greater Direct Ownership Interest Apr 1, 2018 100%
Kevin Duane Samrow Individual W-2 Managing EmployeeCeo Sep 16, 2019
Roman Gabriel Ottinger Individual Corporate OfficerSenior VP/Treasurer Jan 6, 2020
Health Management Associates LP Organization, Franklin, TN 5% Or Greater Indirect Ownership Interest Apr 1, 2018 99%
Paula M Lalor Individual Corporate DirectorDirector PFS Apr 1, 2018
Edna S Buffington-Price Individual Corporate DirectorVP/Authorized Official Mar 1, 2022
Christopher G Cobb Individual Corporate OfficerVP/Secretary Mar 1, 2022
CHS Community Health Systems Inc Organization, Franklin, TN Corporation 5% Or Greater Indirect Ownership Interest Apr 1, 2018 100%

Facilities with the same owner 120

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

  • Durant Hma LLC

    dba AllianceHealth Durant

    • General Acute Care Hospital
    • Durant, OK
    • NPI 1770522906

    Central States Hma Holdings LLC, CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Health Management Associates LP, Hma-Tri Holdings LLC

    CMS ownership
  • Marshall County Hma LLC

    dba AllianceHealth Madill Clinic

    • Rural Health Clinic/Center
    • Madill, OK
    • NPI 1992246565

    Central States Hma Holdings LLC, CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Health Management Associates LP, Hma-Tri Holdings LLC

    CMS ownership
  • Marshall County Hma, LLC

    dba AllianceHealth Atoka Clinic

    • Rural Health Clinic/Center
    • Atoka, OK
    • NPI 1003670647

    Central States Hma Holdings LLC, CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Health Management Associates LP, Hma-Tri Holdings LLC

    CMS ownership
  • Marshall County Hma, LLC

    dba AllianceHealth Madill

    • Medicare Defined Swing Bed Hospital Unit
    • Madill, OK
    • NPI 1053414037

    Central States Hma Holdings LLC, CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Health Management Associates LP, Hma-Tri Holdings LLC

    CMS ownership
  • Marshall County Hma, LLC

    dba AllianceHealth Kingston Clinic

    • Rural Health Clinic/Center
    • Kingston, OK
    • NPI 1326802968

    Central States Hma Holdings LLC, CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Health Management Associates LP, Hma-Tri Holdings LLC

    CMS ownership
  • Marshall County Hma, LLC

    dba AllianceHealth Madill

    • Critical Access Hospital
    • Madill, OK
    • NPI 1467476556

    Central States Hma Holdings LLC, CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Health Management Associates LP, Hma-Tri Holdings LLC

    CMS ownership
  • Affinity Hospital LLC

    dba Grandview Medical Center

    • General Acute Care Hospital
    • Birmingham, AL
    • NPI 1023061405

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC

    CMS ownership
  • Affinity Hospital LLC

    dba Grandview Medical Center

    • Psychiatric Hospital Unit
    • Birmingham, AL
    • NPI 1043263221

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC

    CMS ownership
  • Affinity Hospital LLC

    dba Grandview Medical Center

    • Rehabilitation Hospital Unit
    • Birmingham, AL
    • NPI 1720001019

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC

    CMS ownership
  • Bluffton Health System LLC

    dba Bluffton Regional Medical Center

    • Medicare Defined Swing Bed Hospital Unit
    • Bluffton, IN
    • NPI 1356839591

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC

    CMS ownership
  • Bluffton Health System LLC

    dba Bluffton Regional Medical Center

    • General Acute Care Hospital
    • Bluffton, IN
    • NPI 1376594366

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC

    CMS ownership
  • Brandon Hma LLC

    dba Merit Health Rankin

    • General Acute Care Hospital
    • Brandon, MS
    • NPI 1205882669

    CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Health Management Associates LP, Hma-Tri Holdings LLC

    CMS ownership
View all 120

NPI Registry JSON

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1063910925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 W UNIVERSITY BLVD",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747013096",
            "telephone_number": "580-924-3400",
            "fax_number": "580-924-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 W UNIVERSITY BLVD",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747013096",
            "telephone_number": "580-924-3400",
            "fax_number": "580-924-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL COUNTY HMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-25",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "629-215-3953"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "OK",
            "license": "2282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AllianceHealth Durant Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durant, OK

Sources for this page

Verify at the official NPI Registry.