NPIMap

Organization Active NPI

Farmers Union Hospital Association

  • Rehabilitation Hospital Unit
  • Elk City, OK
National Provider Identifier
1063990901
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
2210 Issued in OK
Legal business name
FARMERS UNION HOSPITAL ASSOCIATION
Practice address
1801 W 3Rd St
Elk City, OK 73644-5145
Phone
(580) 225-2511
Fax
(580) 225-9143
NPI assigned
Aug 2, 2018
Organization subpart
Yes
Parent organization
FARMERS UNION HOSPITAL ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Authorized official

Name
Monica Scott
Title
Cfo
Phone
(580) 821-5500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 225400000X
Rehabilitation Hospital Unit 273Y00000X 2210 OK Primary

Addresses

Primary practice location

1801 W 3Rd St
Elk City, OK 73644-5145

Mailing address

PO Box 927
Elk City, OK 73648-0927
Phone (580) 225-2511

Other names 1

  • Great Plains Regional Medical Center Inpatient Rehab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170731000492 OK Part A Provider - Hospital 7517949415 1 other NPI on this enrollment
Practice locations: Elk City, OK

Hospital certification: CCN 37T019

Legal name
FARMERS UNION HOSPITAL ASSOCIATION
Doing business as
GREAT PLAINS REGIONAL MEDICAL CENTER
Organization structure
OtherNon-profit
Enrollment address
1801 W 3Rd St
Elk City, OK 73644-5145
Other Hospital Practice Location
Hospital subgroups
Acute care

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: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Great Plains Regional Medical CenterCCN 37T019
Ownership
Non-profit
Certified
Jul 31, 2017

National Provider Directory

National Provider Directory
Tax ID family
Kathryn a Trissellmd8 organizations share this tax ID, including this one
Part of
Kathryn a Trissellmd

Other organizations with this tax ID 7

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

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Paul Kumpf Individual Corporate Director Oct 1, 1993
Edward Albert Individual Corporate Director Oct 1, 2002
Jeff Jackson Individual Corporate Director Oct 1, 2016
Kyle Zybach Individual Corporate DirectorChairman Jan 1, 2018
Monica R Scott Individual Corporate DirectorCfo Aug 19, 2013
W-2 Managing EmployeeCfo Aug 19, 2013
Danny Sprowls Individual Corporate Director Oct 1, 2003
Joe Allen Individual Corporate DirectorVice-Chairman Nov 4, 2022
Tyson D Fisher Individual Corporate DirectorVice Chief of Staff Dec 1, 2022
Farmers Union Hospital Association Organization, Elk City, OK Non-profit Operational/Managerial Control Feb 14, 2014
Erick C Derocher Individual Corporate DirectorChief of Staff Feb 2, 2021
Daniel Garbarino Individual Corporate Director Dec 1, 2022
Corey Lively Individual Corporate OfficerCeo Feb 3, 2014 100%
W-2 Managing EmployeeCeo Feb 3, 2014 100%
J C Coffey Individual Corporate Director Oct 1, 2011

Owners & managing parties with NPI records 9

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

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Great Plains Regional Medical CenterElk City, OK, CCN 370019 Hospital Operational/Managerial Control Feb 14, 2014

Owned or controlled facilities with NPI records 3

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

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1063990901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 927",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736480927",
            "telephone_number": "580-225-2511",
            "fax_number": "580-225-9143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W 3RD ST",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736445145",
            "telephone_number": "580-225-2511",
            "fax_number": "580-225-9143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMERS UNION HOSPITAL ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FARMERS UNION HOSPITAL ASSOCIATION",
        "enumeration_date": "2018-08-02",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "580-821-5500"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "OK",
            "license": "2210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Plains Regional Medical Center Inpatient Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Great Plains Regional Medical Center Inpatient Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elk City, OK

Sources for this page

Verify at the official NPI Registry.