Organization Active NPI

Prague Healthcare Alliance Inc

Doing business as Prague Municipal Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Prague, OK
National Provider Identifier
1316151996
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
2164 Issued in OK
Legal business name
PRAGUE HEALTHCARE ALLIANCE INC
Doing business as
Prague Municipal Hospital
Practice address
1322 Klabzuba Ave
Prague, OK 74864-1090
Phone
(405) 567-4922
Fax
(405) 567-4290
NPI assigned
May 10, 2007
Last updated
Feb 4, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
PRAGUE HEALTHCARE ALLIANCE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Authorized official

Name
Mrs. Joan Walters
Title
Ceo Administrator
Phone
(405) 567-4922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 2164 OK Primary

Addresses

Primary practice location

1322 Klabzuba Ave
Prague, OK 74864-1090

Mailing address

PO Box S
Prague, OK 74864-1090
Phone (405) 567-4922

Other names 1

  • Prague Municipal Hospital Doing business as

National Provider Directory

National Provider Directory
Part of
Prague Healthcare Alliance Inc

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1316151996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX S",
            "city": "PRAGUE",
            "state": "OK",
            "postal_code": "748641090",
            "telephone_number": "405-567-4922",
            "fax_number": "405-567-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 KLABZUBA AVE",
            "city": "PRAGUE",
            "state": "OK",
            "postal_code": "748641090",
            "telephone_number": "405-567-4922",
            "fax_number": "405-567-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAGUE HEALTHCARE ALLIANCE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRAGUE HEALTHCARE ALLIANCE INC",
        "enumeration_date": "2007-05-10",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "CEO ADMINISTRATOR",
        "authorized_official_telephone_number": "405-567-4922",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "OK",
            "license": "2164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prague Municipal Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prague, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.