NPIMap

Organization Active NPI

Great Salt Plains Health Center, Inc.

Doing business as GSP Health Enid

  • Federally Qualified Health Center (FQHC)
  • Enid, OK
National Provider Identifier
1245667732
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
GREAT SALT PLAINS HEALTH CENTER, INC.
Doing business as
GSP Health Enid
Practice address
231 S 30TH St
Enid, OK 73701-6455
Phone
(580) 223-2900
NPI assigned
Sep 30, 2013
Last updated
Jul 3, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
GREAT SALT PLAINS HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Authorized official

Name
Tim Starkey
Title
Ceo
Phone
(580) 596-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

231 S 30TH St
Enid, OK 73701-6455

Mailing address

405 S Oklahoma Ave
Cherokee, OK 73728-2545

Other names 1

  • GSP Health Enid Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131114000293 OK Part A Provider - Federally Qualified Health Center (FQHC) 9133201171 Practice locations: Enid, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245667732. Details of each certification follow.

Federally qualified health center certification: CCN 371889

Legal name
GREAT SALT PLAINS HEALTH CENTER INC
Doing business as
GSPHC - ENID
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 13, 2013
Last certification
Nov 13, 2013
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 6, 2007 in OK
Enrollment address
231 S 30TH St
Enid, OK 73701-6455

Other NPIs with the same Medicare PAC ID 7

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

National Provider Directory

National Provider Directory
Part of
Great Salt Plains Health Center Inc

Locations

310 E Walnut
Canton, OK 73724
Phone (580) 886-2200

619 N Front St
Medford, OK 73759
Phone (580) 395-3200

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GAIDAD

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Leslie Collins Individual Corporate OfficerPresident Nov 25, 2015
Corporate DirectorBoard Member Nov 25, 2014
Todd Hamilton Individual Corporate Officer Dec 20, 2023
Tina Regier Individual Corporate Officer Jan 28, 2025
Taylor Arndt Individual Corporate Officer Apr 18, 2023
Randy Long Individual Corporate Officer Jan 28, 2025
Susie Koontz Individual Corporate OfficerSecretary Sep 1, 2000
Corporate DirectorBoard Member Sep 1, 2000
Rocio Guzman-Lopez Individual Corporate Officer Apr 18, 2023
Jacob Roberson Individual Corporate Officer Dec 20, 2023
Dan Schiedel Individual Corporate Officer Apr 18, 2023
Adam Smith Individual Corporate Officer Apr 18, 2023
Timothy Starkey Individual Corporate DirectorCeo Director Apr 1, 2008
W-2 Managing EmployeeCeo Apr 1, 2008 100%
Martha Royster Individual Corporate DirectorBoard Member Oct 18, 2016
Gail Ridgeway Individual Corporate DirectorBoard Member Dec 16, 2008
James Edmison Individual Corporate Officer Apr 17, 2018
Corporate DirectorBoard Member Apr 17, 2018
Jorge Guerrero Individual Corporate Director Jan 18, 2022
Brandi Schieber Individual Corporate DirectorBoard Member Jul 1, 2021

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1245667732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 S OKLAHOMA AVE",
            "city": "CHEROKEE",
            "state": "OK",
            "postal_code": "737282545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 S 30TH ST",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737016455",
            "telephone_number": "580-223-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT SALT PLAINS HEALTH CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREAT SALT PLAINS HEALTH CENTER",
        "enumeration_date": "2013-09-30",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A",
        "authorized_official_last_name": "STARKEY",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "580-596-2800"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GSP Health Enid",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Enid, OK

Sources for this page

Verify at the official NPI Registry.