NPIMap

Organization Active NPI

Logan Hospital and Medical Center Authority

Doing business as Center for Internal Medicine and Pedicatrics - Academy

  • Clinic/Center
  • Guthrie, OK
National Provider Identifier
1316945272
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
2267 Issued in OK
Legal business name
LOGAN HOSPITAL AND MEDICAL CENTER AUTHORITY
Doing business as
Center for Internal Medicine and Pedicatrics - Academy
Practice address
205 S Academy Rd
Guthrie, OK 73044-8727
Phone
(405) 282-9449
Fax
(405) 282-9403
NPI assigned
Jul 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Steve Rowley
Title
Ceo
Phone
(405) 260-4191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 2267 OK Primary

Addresses

Primary practice location

205 S Academy Rd
Guthrie, OK 73044-8727

Mailing address

PO Box 1017
Guthrie, OK 73044-1017
Phone (405) 282-9449

Other identifiers 1

IdentifierTypeStateIssuer
CJ5177OtherMEDICARE RAILROAD

Other names 1

  • Center for Internal Medicine and Pedicatrics - Academy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1316945272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1017",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730441017",
            "telephone_number": "405-282-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S ACADEMY RD",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730448727",
            "telephone_number": "405-282-9449",
            "fax_number": "405-282-9403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGAN HOSPITAL AND MEDICAL CENTER AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "ROWLEY",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-260-4191"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OK",
            "license": "2267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CJ5177",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Internal Medicine and Pedicatrics - Academy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Guthrie, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.