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Duncan Regional Hospital, Inc.

Organization Active NPI Rural Health Clinic/Center · Walters, OK

NPI 1144704115 · NPPES record last updated Jan 23, 2026

Key facts

NPI
1144704115
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
DUNCAN REGIONAL HOSPITAL, INC.
Practice address
117 W Missouri St
Walters, OK 73572-1243
Phone
(580) 875-5622
NPI assigned
Sep 17, 2018
Organization subpart
Yes
Parent organization (as reported)
DUNCAN REGIONAL HOSPITAL, INC.

Authorized official

Name
Ken Miller
Title
Cfo
Phone
(580) 251-8554

Owned or controlled facilities with NPI records 4

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

Other NPIs with the same Medicare PAC ID 21

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 15

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

Facilities connected through Provider of Services related, parent or unit certification numbers.

Practitioners 69

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

View all 69

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2152576Walters Family Care
117 W Missouri St, Walters, OK 73572		Certificate of waiverAug 12, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OK

Rural health clinic certification: CCN 378529

Legal name
DUNCAN REGIONAL HOSPITAL, INC
Doing business as
JEFFERSON COUNTY HOSPITAL D/B/A WALTERS FAMILY CARE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
May 6, 2019
Last certification
May 1, 2025
Ownership / control type
2B
Organization structure
Corporation · Non-profit
Incorporated
Oct 29, 1976 in OK
Enrollment address
402 N Broadway St
Walters, OK 73572-1230
Related CCNs
371311

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Kenneth Miller
Individual 		Corporate Officer
Cfo		 May 19, 2025
Sherry McKay
Individual 		W-2 Managing Employee
Manager		 Sep 30, 2024
Lisa High
Individual 		Corporate Director
Revenue Cycle Director		 Sep 14, 2020
Lety Almeida
Individual 		W-2 Managing Employee
Credentialing Specialist		 Sep 19, 2019
John Edgar
Individual 		Corporate Officer
President		 Feb 1, 2022

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Duncan Regional Hospital, Inc
Duncan, OK · CCN 37T023		 Hospital Operational/Managerial Control Nov 1, 2007
Duncan Regional Hospital, Inc
Duncan, OK · CCN 37S023		 Hospital Operational/Managerial Control Jul 1, 2009
Duncan Regional Hospital, Inc
Duncan, OK · CCN 377142		 Home health agency 5% Or Greater Direct Ownership Interest Nov 1, 2007
Chisholm Trail Hospice
Duncan, OK · CCN 371553		 Hospice 5% Or Greater Direct Ownership Interest (100%) Nov 10, 2011

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20190227003062 OK Part a Provider - Rural Health Clinic 5193613057 Practice locations: Walters, OK

National Provider Directory

Tax ID family
Duncan Regional Hospita (16 organizations share this tax ID)
Part of
Duncan Regional Hospita

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Yes

Addresses

Primary practice location

117 W Missouri St
Walters, OK 73572-1243

Mailing address

PO Box 100
Duncan, OK 73534-0100
Phone (580) 251-8927

Other names

  • Jefferson County Hospital dba Walters Family Care Doing business as

Other providers in Walters, OK

All providers in Walters, OK · Rural Health Clinic/Center in Oklahoma

Sources for this page

Verify at the official NPI Registry.