NPIMap

Organization Active NPI

Alva Hospital Authority

  • Rural Health Clinic/Center
  • Alva, OK
National Provider Identifier
1144534603
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
ALVA HOSPITAL AUTHORITY
Practice address
800 Share Dr Ste 100
Alva, OK 73717-3614
Phone
(580) 430-3366
Fax
(580) 430-3374
NPI assigned
Jul 27, 2010
Organization subpart
Yes
Parent organization
ALVA HOSPITAL AUTHORITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Authorized official

Name
Kandice Allen
Title
Ceo
Phone
(580) 327-2800

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital Clinic/Center 261QC0050X
Rural Health Clinic/Center 261QR1300X Primary
Physician Assistant 363A00000X

Addresses

Primary practice location

800 Share Dr Ste 100
Alva, OK 73717-3614

Mailing address

800 Share Dr
PO Box 727
Alva, OK 73717-3618
Phone (580) 327-2800

Other identifiers 1

IdentifierTypeStateIssuer
201145760AMedicaidOK

Other names 2

  • SMC WEST END RHC Doing business as
  • SMC West End Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040514000014 OK Part B Supplier - Clinic/Group Practice 5597755306 Receives reassigned benefits from 26 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Alva, OK

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Share Health Center

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1144534603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SHARE DR",
            "address_2": "PO BOX 727",
            "city": "ALVA",
            "state": "OK",
            "postal_code": "737173618",
            "telephone_number": "580-327-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SHARE DR STE 100",
            "city": "ALVA",
            "state": "OK",
            "postal_code": "737173614",
            "telephone_number": "580-430-3366",
            "fax_number": "580-430-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALVA HOSPITAL AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALVA HOSPITAL AUTHORITY",
        "enumeration_date": "2010-07-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "KANDICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "580-327-2800"
    },
    "taxonomies": [
        {
            "code": "261QC0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Critical Access Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201145760A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMC WEST END RHC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SMC West End Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alva, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.