NPIMap

Organization Active NPI

Southern Plains Medical Center of Garvin County LLC

Doing business as Valley Community Hospital

  • Emergency Medicine Physician
  • Pauls Valley, OK
National Provider Identifier
1083280622
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
SOUTHERN PLAINS MEDICAL CENTER OF GARVIN COUNTY LLC
Doing business as
Valley Community Hospital
Practice address
100 Valley Dr
Pauls Valley, OK 73075-6613
Phone
(405) 866-5100
NPI assigned
Jun 3, 2021
Last updated
Apr 3, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHERN PLAINS MEDICAL CENTER OF GARVIN COUNTY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Authorized official

Name
Catherine Hatton
Title
Chief Operating Officer
Phone
(405) 866-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Primary

Addresses

Primary practice location

100 Valley Dr
Pauls Valley, OK 73075-6613

Mailing address

100 Valley Dr
Pauls Valley, OK 73075-6613
Phone (405) 866-5100

Other names 2

  • VALLEY COMMUNITY HOSPITAL Doing business as
  • VALLEY COMMUNITY CLINIC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210617000272 OK Part B Supplier - Clinic/Group Practice 5496155582 Receives reassigned benefits from 33 practitioners
1 other NPI on this enrollment
Practice locations: Edmond, OK; Pauls Valley, OK

Other NPIs with the same Medicare PAC ID 1

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.

National Provider Directory

National Provider Directory
Part of
Southern Plains Med Ctr

Locations

100 Valley Dr
Ste Ia
Pauls Valley, OK 73075

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1083280622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 VALLEY DR",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730756613",
            "telephone_number": "405-866-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 VALLEY DR",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730756613",
            "telephone_number": "405-866-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN PLAINS MEDICAL CENTER OF GARVIN COUNTY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN PLAINS MEDICAL CENTER OF GARVIN COUNTY LLC",
        "enumeration_date": "2021-06-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "HATTON",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "405-866-5100"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VALLEY COMMUNITY HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VALLEY COMMUNITY CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pauls Valley, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.