Pawhuska Hospital, Inc.

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

License

2271 Issued in OK

Legal business name

PAWHUSKA HOSPITAL, INC.

Practice address

1101 E 15TH St
Pawhuska, OK 74056-1901

Phone

(918) 287-3232

Fax

(918) 287-5161

NPI assigned

Feb 28, 2007

Last updated

Oct 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jason McBride

Title

Hospital Administrator

Phone

(918) 287-3232

Specialties & licenses 1

Addresses

Other identifiers 6

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174650766. Details of each certification follow.

• CCN 37Z309 Hospital · Details

Hospital certification: CCN 37Z309

Legal name

PAWHUSKA HOSPITAL INC

Organization structure

CorporationNon-profit

Incorporated

Jul 29, 1959 in OK

Enrollment address

1101 E 15TH St
Pawhuska, OK 74056-1901
Other Hospital Practice Location

Related certifications (CCN) 1

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

• Pawhuska Hospital, Inc.

  • Critical Access Hospital
  • Pawhuska, OK
  • NPI 1174521991

  Unit of hospital

  Provider of Services

Other NPIs with the same Medicare PAC ID 2

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

• Pawhuska Hospital Inc

  • Rural Health Clinic/Center
  • Pawhuska, OK
  • NPI 1871092494

  7012906548

  Same PAC ID
• Pawhuska Hospital, Inc.

  • Critical Access Hospital
  • Pawhuska, OK
  • NPI 1174521991

  7012906548

  Same PAC ID

Tax ID family

Pawhuska Hospital Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Pawhuska Hospital Inc

  • Rural Health Clinic/Center
  • Pawhuska, OK
  • NPI 1871092494
  NPD tax ID

All disclosed owners & managing parties 2

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

All facility ownership & control disclosures 1

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

Owned or controlled facilities with NPI records 1

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

• Pawhuska Hospital, Inc.

  • Critical Access Hospital
  • Pawhuska, OK
  • NPI 1174521991

  5% Or Greater Direct Ownership Interest

  CMS ownership

Practitioners 1

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.

• John Joseph Chiaffitelli, DO

  • General Practice Physician
  • Oklahoma City, OK
  • NPI 1053391672
  Medicare reassignment NPD

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• John Joseph Chiaffitelli, DO

  • General Practice Physician
  • Oklahoma City, OK
  • NPI 1053391672

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1174650766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 E 15TH ST",
            "city": "PAWHUSKA",
            "state": "OK",
            "postal_code": "740561901",
            "telephone_number": "918-287-3232",
            "fax_number": "918-287-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E 15TH ST",
            "city": "PAWHUSKA",
            "state": "OK",
            "postal_code": "740561901",
            "telephone_number": "918-287-3232",
            "fax_number": "918-287-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAWHUSKA HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "HOSPITAL ADMINISTRATOR",
        "authorized_official_telephone_number": "918-287-3232",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "OK",
            "license": "2271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100255660B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100690120A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100690120C",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100255950B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200021730A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOSPITAL NPI ACUTE CARE",
            "identifier": "1174521991",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ehr-direct@pawhuskahospital.hin.us",
            "affiliation": "N",
            "endpointDescription": "Pawhuska Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1101 E 15th St",
            "city": "Pawhuska",
            "state": "OK",
            "country_code": "US",
            "postal_code": "740561901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Victoria Parker, LCSW
• Shelby Parsons
• Pawhuska Chiropractic Center
• Pawhuska Hospital Inc
• Pawhuska Hospital, Inc.
• Pawhuska IHS Pharmacy
• Pawhuska Public Schools
• Malorie Denise Pease, PHARMACIST
• Jennifer Wynn Pelkey
• Rebekah Lahressa Perigo

• Critical Access Hospital in Pawhuska, OK
• Providers in Pawhuska, OK by specialty
• Critical Access Hospital in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.