NPIMap

Organization Active NPI

Kiowa County Hospital Authority

  • Rural Health Clinic/Center
  • Hobart, OK
National Provider Identifier
1255823282
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
KIOWA COUNTY HOSPITAL AUTHORITY
Practice address
401 W Forest LN Ste 300
Hobart, OK 73651-1668
Phone
(580) 726-2000
Fax
(580) 726-2011
NPI assigned
Jun 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Authorized official

Name
Lisa Hart
Title
Chief Financial Officer
Phone
(580) 530-0791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

401 W Forest LN Ste 300
Hobart, OK 73651-1668

Mailing address

429 W Elm St
Hobart, OK 73651-1615
Phone (580) 726-1900

Other names 1

  • ELKVIEW PHYSICIAN GROUP Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180628001810 OK Part A Provider - Rural Health Clinic 7416948500 Practice locations: Hobart, OK

Rural health clinic certification: CCN 378534

Legal name
KIOWA COUNTY HOSPITAL AUTHORITY
Doing business as
ELKVIEW PHYSICIAN GROUP
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jun 23, 2020
Last certification
May 17, 2023
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Incorporated
Oct 23, 1968 in OK
Enrollment address
401 W Forest LN
Ste 300
Hobart, OK 73651-1668
Related CCNs
370153

Other NPIs with the same Medicare PAC ID 1

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

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
37D2148648Kiowa County Hospital Authority401 W Forest LN, Hobart, OK 73651Certificate of waiverMay 14, 2028

National Provider Directory

National Provider Directory
Tax ID family
Kiowa County Hospital Authority2 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.

Locations

401 W Forest Ln
Ste 200
Hobart, OK 73651
Phone (580) 726-2000

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Kelley Hilburn Individual Corporate OfficerBoard Secretary Treasurer Sep 6, 2022
Larry Duff Individual Corporate DirectorBoard Member Apr 3, 2023
Arthur Ford Individual Corporate DirectorBoard Member Apr 3, 2023
Garl Mardis Individual Corporate DirectorPresident Board Mar 29, 2010 20%
Lisa a Hart Individual Corporate OfficerChief Financial Officer Mar 25, 2014 100%
Operational/Managerial ControlChief Financial Officer Mar 25, 2014 100%
Gregory Holt Individual Corporate OfficerBoard Vice President Jul 26, 2021

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1255823282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 W ELM ST",
            "city": "HOBART",
            "state": "OK",
            "postal_code": "736511615",
            "telephone_number": "580-726-1900",
            "fax_number": "580-726-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W FOREST LN STE 300",
            "city": "HOBART",
            "state": "OK",
            "postal_code": "736511668",
            "telephone_number": "580-726-2000",
            "fax_number": "580-726-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIOWA COUNTY HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-05",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "580-530-0791"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELKVIEW PHYSICIAN GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hobart, OK

Sources for this page

Verify at the official NPI Registry.