NPIMap

Organization Active NPI

Beaver County Memorial Hospital

Doing business as Community Clinic of Turpin

  • Clinic/Center
  • Turpin, OK
National Provider Identifier
1285611756
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
2242 Issued in OK
Legal business name
BEAVER COUNTY MEMORIAL HOSPITAL
Doing business as
Community Clinic of Turpin
Practice address
104 N Hibbs
Turpin, OK 73950-0299
Phone
(580) 778-3966
Fax
(580) 778-3890
NPI assigned
Dec 27, 2005
Last updated
Aug 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Authorized official

Name
Mr. Brent Meyers
Title
Administrator
Phone
(580) 625-4551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 2242 OK Primary

Addresses

Primary practice location

104 N Hibbs
Turpin, OK 73950-0299

Mailing address

PO Box 299
Turpin, OK 73950-0299
Phone (580) 778-3966

Other identifiers 2

IdentifierTypeStateIssuer
100700760GMedicaidOK
100700760HMedicaidOK

Other names 1

  • Community Clinic of Turpin Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080616000043 OK Part A Provider - Rural Health Clinic 9335134246 Practice locations: Turpin, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285611756. Details of each certification follow.

Rural health clinic certification: CCN 373408

Legal name
BEAVER COUNTY MEMORIAL HOSPITAL
Doing business as
COMMUNITY CLINIC OF TURPIN
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 13, 1994
Last certification
Sep 21, 2023
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Enrollment address
104 N Hibbs
Community Clinic of Turpin
Turpin, OK 73950-0299
Related CCNs
371322

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

Other NPIs with the same Medicare PAC ID 4

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
37D0888201Community Clinic of Turpin104 North Hibbs, Turpin, OK 73950Provider-performed microscopyAug 30, 2026

National Provider Directory

National Provider Directory
Tax ID family
Beaver County Mem Hosp PC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Karla Leisher Individual W-2 Managing Employee Nov 19, 2007
Alissa Schlessman Individual Operational/Managerial Control Jul 13, 1994

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Beaver County Memorial HospitalBeaver, OK, CCN 37Z322 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Jan 1, 1966
Jan 1, 1966

Owned or controlled facilities with NPI records 1

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

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": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1285611756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 299",
            "city": "TURPIN",
            "state": "OK",
            "postal_code": "739500299",
            "telephone_number": "580-778-3966",
            "fax_number": "580-778-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N HIBBS",
            "city": "TURPIN",
            "state": "OK",
            "postal_code": "739500299",
            "telephone_number": "580-778-3966",
            "fax_number": "580-778-3890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAVER COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "580-625-4551",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OK",
            "license": "2242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100700760G",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100700760H",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Clinic of Turpin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Turpin, OK

Sources for this page

Verify at the official NPI Registry.