Active NPI
HCA Health Services of Oklahoma, Inc.
- General Acute Care Hospital
- Edmond, OK
National Provider Identifier
1205887916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- HCA HEALTH SERVICES OF OKLAHOMA, INC.
- Doing business as
- EDMOND MEDICAL CENTER
- Practice address
- 1 S Bryant Ave
Edmond, OK 73034-6309 - Phone
- (405) 341-6100
- Fax
- (405) 359-5500
- NPI assigned
- May 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lavaughn Carey
- Title
- Cfo
- Phone
- (405) 359-5530
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Primary |
Addresses
Primary practice location
1 S Bryant Ave
Edmond, OK 73034-6309
Mailing address
1 S Bryant Ave
Edmond, OK 73034-6309
Phone (405) 341-6100
Other identifiers 19
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100697940A | Medicaid | OK | |
| 370148001 | Other | OK | BLUE CROSS |
| 62175765500 | Medicaid | NE | |
| 04338300 | Medicaid | MS | |
| 80632600 | Medicaid | WI | |
| 072687901 | Medicaid | TX | |
| 1703222 | Medicaid | LA | |
| 01836736 | Medicaid | PA | |
| 0376267 | Medicaid | OH | |
| 0572768 | Medicaid | IA | |
| 621757655001 | Medicaid | IL | |
| 016104507 | Medicaid | MO | |
| 200003680A | Medicaid | KS | |
| 621757655 | Other | TRICARE- ACUTE | |
| 941262 | Medicaid | AZ | |
| 149055105 | Medicaid | AR | |
| 166280900 | Other | DEPT OF LABOR | |
| 75473267 | Medicaid | CO | |
| EDM0148N | Medicaid | AL |
Other names 1
- EDMOND MEDICAL CENTER
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300320000000",
"number": "1205887916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 S BRYANT AVE",
"city": "EDMOND",
"state": "OK",
"postal_code": "730346309",
"telephone_number": "405-341-6100",
"fax_number": "405-359-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 S BRYANT AVE",
"city": "EDMOND",
"state": "OK",
"postal_code": "730346309",
"telephone_number": "405-341-6100",
"fax_number": "405-359-5500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HCA HEALTH SERVICES OF OKLAHOMA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-15",
"last_updated": "2011-03-17",
"status": "A",
"authorized_official_last_name": "CAREY",
"authorized_official_first_name": "LAVAUGHN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "405-359-5530"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100697940A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "370148001",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "62175765500",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04338300",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80632600",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "072687901",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1703222",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01836736",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0376267",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0572768",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "621757655001",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016104507",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200003680A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE- ACUTE",
"identifier": "621757655",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "941262",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149055105",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR",
"identifier": "166280900",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "75473267",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "EDM0148N",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "EDMOND MEDICAL CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.