NPIMap

Organization Active NPI

Duncan Regional Hospital, Inc

Doing business as Jefferson County Hospital dba Elgin Family Care

  • Rural Health Clinic/Center
  • Elgin, OK
National Provider Identifier
1306477146
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
DUNCAN REGIONAL HOSPITAL, INC
Doing business as
Jefferson County Hospital dba Elgin Family Care
Practice address
8148 State Highway 17
Elgin, OK 73538-9010
Phone
(580) 454-2273
Fax
(580) 454-2275
NPI assigned
Jan 30, 2020
Last updated
Jan 30, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
DUNCAN REGIONAL HOSPITAL, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Authorized official

Name
Doug Volinski
Title
Cfo
Phone
(580) 251-8554

Specialties & licenses 1

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

Addresses

Primary practice location

8148 State Highway 17
Elgin, OK 73538-9010

Mailing address

PO Box 100
Duncan, OK 73534-0100
Phone (580) 251-8927

Other names 1

  • Jefferson County Hospital dba Elgin Family Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200421000221 OK Part A Provider - Rural Health Clinic 5193613057 Practice locations: Elgin, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306477146. Details of each certification follow.

Rural health clinic certification: CCN 378535

Legal name
DUNCAN REGIONAL HOSPITAL, INC
Doing business as
JEFFERSON COUNTY HOSPITAL D/B/A ELGIN FAMILY CARE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
May 8, 2020
Last certification
Apr 17, 2023
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Oct 29, 1976 in OK
Enrollment address
8148 State Highway 17
Elgin, OK 73538-9010
Related CCNs
371311

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

Other NPIs with the same Medicare PAC ID 21

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

View all 21

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
37D2179057Elgin Family Care8148 State Hwy 17, Elgin, OK 73538Certificate of waiverFeb 13, 2028

National Provider Directory

National Provider Directory
Tax ID family
Dean Fullingim MD16 organizations share this tax ID, including this one
Part of
Dean Fullingim MD

Other organizations with this tax ID 15

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

View all 15

Locations

2515 N Whisenant Dr
Duncan, OK 73533
Phone (580) 251-6806

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Kenneth Miller Individual Corporate OfficerCfo May 19, 2025
Sherry McKay Individual W-2 Managing EmployeeManager May 19, 2025
Lisa High Individual Corporate DirectorRevenue Cycle Director Sep 14, 2020
Lety Almeida Individual W-2 Managing EmployeeCredentialing Specialist Sep 19, 2019
John Edgar Individual Corporate OfficerPresident Feb 1, 2022

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Duncan Regional Hospital, IncDuncan, OK, CCN 37T023 Hospital Operational/Managerial Control Nov 1, 2007
Duncan Regional Hospital, IncDuncan, OK, CCN 37S023 Hospital Operational/Managerial Control Jul 1, 2009
Duncan Regional Hospital, IncDuncan, OK, CCN 377142 Home health agency 5% Or Greater Direct Ownership Interest Nov 1, 2007
Chisholm Trail HospiceDuncan, OK, CCN 371553 Hospice 5% Or Greater Direct Ownership Interest (100%) Nov 10, 2011

Owned or controlled facilities with NPI records 4

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

Practitioners & affiliated clinicians

Practitioners 3

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": "1580342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1306477146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735340100",
            "telephone_number": "580-251-8927",
            "fax_number": "580-251-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8148 STATE HIGHWAY 17",
            "city": "ELGIN",
            "state": "OK",
            "postal_code": "735389010",
            "telephone_number": "580-454-2273",
            "fax_number": "580-454-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNCAN REGIONAL HOSPITAL, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DUNCAN REGIONAL HOSPITAL, INC",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "VOLINSKI",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "580-251-8554"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson County Hospital dba Elgin Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elgin, OK

Sources for this page

Verify at the official NPI Registry.