NPIMap

Organization Active NPI

Okmulgee Memorial Hospital, Inc

Doing business as Okmulgee Memorial Hospital

  • General Acute Care Hospital
  • Okmulgee, OK
National Provider Identifier
1083616221
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
2165 Issued in OK
Legal business name
OKMULGEE MEMORIAL HOSPITAL, INC
Doing business as
Okmulgee Memorial Hospital
Practice address
1401 Morris Drive
Okmulgee, OK 74447-6429
Phone
(918) 756-4233
Fax
(918) 756-5968
NPI assigned
Jun 1, 2005
Last updated
Jan 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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

Authorized official

Name
Mrs. Sharon Renee Riker
Title
Director/It
Phone
(918) 758-3135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 2165 OK Primary

Addresses

Primary practice location

1401 Morris Drive
Okmulgee, OK 74447-6429

Mailing address

PO Box 1038
Okmulgee, OK 74447-1038
Phone (918) 756-4233

Other identifiers 4

IdentifierTypeStateIssuer
000370057001OtherOKBLUE CROSS
100260940AMedicaidOK
106260940AMedicaidOK
100700360BMedicaidOK

Other names 1

  • Okmulgee Memorial Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Creek Nation Hospital Clinics84 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 16

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 16

Practitioners & affiliated clinicians

Practitioners 35

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 35

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1083616221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1038",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744471038",
            "telephone_number": "918-756-4233",
            "fax_number": "918-756-5968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MORRIS DRIVE",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744476429",
            "telephone_number": "918-756-4233",
            "fax_number": "918-756-5968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKMULGEE MEMORIAL HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "RIKER",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "DIRECTOR/IT",
        "authorized_official_telephone_number": "918-758-3135",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OK",
            "license": "2165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000370057001",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100260940A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106260940A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100700360B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Okmulgee Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Okmulgee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; 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.