NPIMap

Organization Active NPI

Reynolds Army Community Hospital

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Fort Sill, OK
National Provider Identifier
1124234364
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
REYNOLDS ARMY COMMUNITY HOSPITAL
Doing business as
TMC SGT BLEAK-SILL
Practice address
4301 Mow Way Road
SGT Bleak Troop Medical Clinic
Fort Sill, OK 73503
Phone
(580) 558-2800
NPI assigned
May 15, 2007
Organization subpart
Yes
Parent organization
REYNOLDS ARMY COMMUNITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 7, 2015

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

Authorized official

Name
Charles Chittum
Title
Ubo Manager
Phone
(580) 558-2793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X Primary

Addresses

Primary practice location

4301 Mow Way Road
SGT Bleak Troop Medical Clinic
Fort Sill, OK 73503

Mailing address

3009 NW Wilson Road
Attn McUa-Pad-PF
Fort Sill, OK 73503-9042
Phone (580) 458-2793

Other names 1

  • TMC SGT BLEAK-SILL Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Reynolds Army Community Hospital15 organizations share this tax ID, including this one
Part of
Reynolds Army Community Hospital

Other organizations with this tax ID 14

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

View all 14

Locations

4301 NW Mow Way Rd
Lawton, OK 73503
Phone (580) 458-2331

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1124234364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 NW WILSON ROAD",
            "address_2": "ATTN MCUA-PAD-PF",
            "city": "FORT SILL",
            "state": "OK",
            "postal_code": "735039042",
            "telephone_number": "580-458-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 MOW WAY ROAD",
            "address_2": "SGT BLEAK TROOP MEDICAL CLINIC",
            "city": "FORT SILL",
            "state": "OK",
            "postal_code": "73503",
            "telephone_number": "580-558-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNOLDS ARMY COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REYNOLDS ARMY COMMUNITY HOSPITAL",
        "enumeration_date": "2007-05-15",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "CHITTUM",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "UBO MANAGER",
        "authorized_official_telephone_number": "580-558-2793"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TMC SGT BLEAK-SILL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Sill, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; 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.