NPIMap

Organization Active NPI

Sequoyah County City of Sallisaw Hospital Authority

  • Home Health Agency
  • Sallisaw, OK
National Provider Identifier
1285803502
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
7189 Issued in OK
Legal business name
SEQUOYAH COUNTY CITY OF SALLISAW HOSPITAL AUTHORITY
Doing business as
Sequoyah Memorial Hospital Physical Therapy
Practice address
213 E Redwood Ave
Sallisaw, OK 74955-2811
Phone
(918) 774-1100
Fax
(918) 774-1103
NPI assigned
Feb 21, 2008
Organization subpart
Yes
Parent organization
SEQUOYAH COUNTY CITY OF SALLISAW HOSPITAL AUTHORITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 23, 2008

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

Authorized official

Name
Charles E. Wade
Title
Ceo
Phone
(918) 774-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 7189 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

Other identifiers 1

IdentifierTypeStateIssuer
100700190QMedicaidOK

Other names 1

  • Sequoyah Memorial Hospital Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sequoyah County City Trust14 organizations share this tax ID, including this one
Part of
Sequoyah County City Trust

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1285803502",
    "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": "918-774-1103"
        },
        {
            "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": "918-774-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUOYAH COUNTY CITY OF SALLISAW HOSPITAL AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SEQUOYAH COUNTY CITY OF SALLISAW HOSPITAL AUTHORITY",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-774-1100"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "7189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100700190Q",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sequoyah Memorial Hospital Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 23, 2008; 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.