Rural Healthcare of Oklahoma, Inc

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

2353 Issued in OK

Legal business name

RURAL HEALTHCARE OF OKLAHOMA, INC

Doing business as

Lane Frost Health And Rehabilitation Center

Practice address

2815 E Jackson St
Hugo, OK 74743-4250

Phone

(580) 326-9200

Fax

(580) 317-2810

NPI assigned

Aug 15, 2005

Last updated

Jun 24, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert F Berry

Title

Ceo

Phone

(512) 626-2751

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lane Frost Health And Rehabilitation Center Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1285626424. Details of each certification follow.

• CCN 372017 Hospital · Terminated · Name & address match · Details
• CCN 373032 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 372017

Legal name

LANE FROST HEALTH AND REHABILITATION CENTER

Certification status

Terminated Voluntary: merger or closure, Jun 30, 2017

Provider type (POS)

Hospital – Long-term

Participating since

Jul 1, 2004

Last certification

Apr 22, 2015

Beds

60

Ownership / control type

Private (not for profit)

Facility address

2815 East Jackson
Hugo, OK 74743

Hospital certification: CCN 373032

Legal name

LANE FROST HEALTH AND REHABILITATION CENTER

Certification status

Terminated Other: provider status change, Jun 30, 2004

Provider type (POS)

Hospital – Rehabilitation

Participating since

Oct 22, 2002

Last certification

Oct 14, 2002

Beds

60

Ownership / control type

Other

Facility address

2815 East Jackson
Hugo, OK 74743

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1285626424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 E JACKSON ST",
            "city": "HUGO",
            "state": "OK",
            "postal_code": "747434250",
            "telephone_number": "580-326-9200",
            "fax_number": "580-317-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 E JACKSON ST",
            "city": "HUGO",
            "state": "OK",
            "postal_code": "747434250",
            "telephone_number": "580-326-9200",
            "fax_number": "580-317-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL HEALTHCARE OF OKLAHOMA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-15",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-626-2751",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OK",
            "license": "2353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200042180A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lane Frost Health And Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rowland Flatt Hugo Rural Health Clinic
• Rowland-Ellis-Flatt Hugo Rural Health Clinic (Hugo Rural Health Clinic)
• Anthony Wade Rowland, D.D.S.
• Teddy Ray Rowland, MD
• Rural Healthcare of Oklahoma, Inc (Lane Frost Health and Rehabilitation Center)
• Krista Sain, LPC
• Paula Sartain
• Jane L Schreurs
• Stuart Schuhmann
• Chris Scott Jr.

• General Acute Care Hospital in Hugo, OK
• Providers in Hugo, OK by specialty
• General Acute Care Hospital in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.