Organization Active NPI

Arbuckle Memorial Hospital

  • Medical Specialty Clinic/Center
  • Sulphur, OK
National Provider Identifier
1194023911
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
ARBUCKLE MEMORIAL HOSPITAL
Practice address
2007 W Broadway Ave
Sulphur, OK 73086-4221
Phone
(580) 622-3511
Fax
(580) 622-3513
NPI assigned
Mar 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Authorized official

Name
Dr. Ryan Oden, DO
Title
Doctor
Phone
(580) 622-3511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X OK Primary

Addresses

Primary practice location

2007 W Broadway Ave
Sulphur, OK 73086-4221

Mailing address

PO Box 1109
Sulphur, OK 73086-8109
Phone (580) 622-3511

Other identifiers 1

IdentifierTypeStateIssuer
100700790HMedicaidOK

Other names 1

  • ARBUCKLE CLINIC AT SULPHUR Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2010070Arbuckle Clinic at Sulphur2007 West Broadway, Sulphur, OK 73086Certificate of waiverSep 11, 2026

National Provider Directory

National Provider Directory
Tax ID family
Arbuckle Family Clinic5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1194023911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1109",
            "city": "SULPHUR",
            "state": "OK",
            "postal_code": "730868109",
            "telephone_number": "580-622-3511",
            "fax_number": "580-622-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 W BROADWAY AVE",
            "city": "SULPHUR",
            "state": "OK",
            "postal_code": "730864221",
            "telephone_number": "580-622-3511",
            "fax_number": "580-622-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBUCKLE MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-02",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "ODEN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "580-622-3511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100700790H",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARBUCKLE CLINIC AT SULPHUR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sulphur, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.