Organization Active NPI

Sequoyah Memorial Hospital

  • Rural Acute Care Hospital
  • Sallisaw, OK
National Provider Identifier
1255444139
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
Legal business name
SEQUOYAH MEMORIAL HOSPITAL
Practice address
213 E Redwood Ave
Sallisaw, OK 74955-2811
Phone
(918) 774-1100
Fax
(918) 774-1143
NPI assigned
Aug 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
James Oscar Wilde, PHYSICIAN
Title
MD
Phone
(918) 774-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X OK Primary

Addresses

Primary practice location

213 E Redwood Ave
Sallisaw, OK 74955-2811

Mailing address

213 E Redwood Ave
PO Box 505
Sallisaw, OK 74955-2811
Phone (918) 774-1100

National Provider Directory

National Provider Directory
Tax ID family
Sequoyah County City Trust Authority14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255444139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 E REDWOOD AVE",
            "address_2": "PO BOX 505",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749552811",
            "telephone_number": "918-774-1100",
            "fax_number": "918-774-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 E REDWOOD AVE",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749552811",
            "telephone_number": "918-774-1100",
            "fax_number": "918-774-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUOYAH MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILDE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "OSCAR",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "918-774-1100",
        "authorized_official_credential": "PHYSICIAN"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sallisaw, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.