NPIMap

Organization Active NPI

Haskell Regional Hospital, Inc.

Doing business as HRH Medical Group, First Choice Family Medicine

  • Rural Health Clinic/Center
  • Holdenville, OK
National Provider Identifier
1255902292
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
HASKELL REGIONAL HOSPITAL, INC.
Doing business as
HRH Medical Group, First Choice Family Medicine
Practice address
106 N Broadway St
Holdenville, OK 74848-3248
Phone
(405) 592-4590
Fax
(405) 592-4362
NPI assigned
Jul 9, 2021
Last updated
Oct 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Authorized official

Name
Dr. Kirnjot Singh, MD
Title
President
Phone
(219) 228-4355

Specialties & licenses 1

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

Addresses

Primary practice location

106 N Broadway St
Holdenville, OK 74848-3248

Mailing address

10996 Four Seasons PL Ste 100C
Crown Point, IN 46307-7762
Phone (219) 228-1021

Other names 1

  • HRH Medical Group, First Choice Family Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210809001943 OK Part A Provider - Rural Health Clinic 1153742739 Practice locations: Holdenville, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255902292. Details of each certification follow.

Rural health clinic certification: CCN 378547

Legal name
HASKELL REGIONAL HOSPITAL INC
Doing business as
HRH MEDICAL GROUP, FIRST CHOICE FAMILY MEDICINE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 7, 2021
Last certification
Nov 18, 2024
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Jan 14, 2020 in IN
Enrollment address
106 N Broadway St
Holdenville, OK 74848-3248
Related CCNs
371335

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 9

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
37D2229225HRH Medical Group, First Choice Family Medicine106 N Broadway St, Holdenville, OK 74848Certificate of waiverJul 8, 2027

National Provider Directory

National Provider Directory
Tax ID family
Haskell Regional Hospital Inc18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Haskell Regional Hospital Inc Organization, Stigler, OK Corporation, Non-profit 5% Or Greater Direct Ownership Interest Aug 1, 2021 100%
Dana Strong Individual W-2 Managing EmployeeVP of Data Analytics/Decision Su Aug 1, 2021
Dean Otey Individual W-2 Managing EmployeeVice President of Revenue Cycle Jan 1, 2023
Kirnjot Singh Individual Contracted Managing EmployeePresident Aug 1, 2021 100%
Corporate OfficerPresident Aug 1, 2021 100%

Owners & managing parties with NPI records 9

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Haskell Regional Hospital IncStigler, OK, CCN 371335 Hospital 5% Or Greater Direct Ownership Interest (100%) May 15, 2020
Haskell Regional Hospital IncStigler, OK, CCN 37Z335 Hospital 5% Or Greater Direct Ownership Interest (100%) May 15, 2020
Haskell Regional Hospital IncStigler, OK, CCN 378544 Rural health clinic 5% Or Greater Direct Ownership Interest (99%) May 15, 2020
HRH Medical Group, Primary Care of AdaAda, OK, CCN 378552 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2022
HRH Medical Group, Affordable Healthcare ClinicHeavener, OK, CCN 378555 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2022
HRH Medical Group, Brown's Family Medical ClinicWarner, OK, CCN 378556 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2022
HRH Medical Group, Rana Family Medical ClinicWilburton, OK, CCN 378560 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2022

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 7

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 2

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": "1625788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1255902292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10996 FOUR SEASONS PL STE 100C",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077762",
            "telephone_number": "219-228-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 N BROADWAY ST",
            "city": "HOLDENVILLE",
            "state": "OK",
            "postal_code": "748483248",
            "telephone_number": "405-592-4590",
            "fax_number": "405-592-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HASKELL REGIONAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-09",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "KIRNJOT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-228-4355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HRH Medical Group, First Choice Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HRH Medical Group, First Choice Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holdenville, OK

Sources for this page

Verify at the official NPI Registry.