NPIMap

Organization Active NPI

Adair County Health Center, Inc.

  • Home Health Agency
  • Stilwell, OK
National Provider Identifier
1346219474
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
7109 Issued in OK
Legal business name
ADAIR COUNTY HEALTH CENTER, INC.
Practice address
1401 W Locust St
Stilwell, OK 74960-3217
Phone
(918) 696-0281
Fax
(918) 696-0285
NPI assigned
Mar 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Alan L Adams
Title
President/Ceo
Phone
(918) 696-3101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 7109 OK Primary

Addresses

Primary practice location

1401 W Locust St
Stilwell, OK 74960-3217

Mailing address

PO Box 272
Stilwell, OK 74960-0272
Phone (918) 696-0281

Other names 1

  • Memorial Hospital Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070710000692 OK Part A Provider - Home Health Agency 9638065907 1 other NPI on this enrollment
Practice locations: Stilwell, OK

Home health agency certification: CCN 377161

Legal name
ADAIR COUNTY HEALTH CENTER INC
Doing business as
MEMORIAL HOSPITAL HOME CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 18, 1989
Last certification
Feb 13, 2019
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
May 19, 1975 in OK
Enrollment address
1401 W Locust St
Stilwell, OK 74960-3275

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Memorial Hospital Home CareCCN 377161
Ownership
Non-Profit
Certified
May 18, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Adair County Health Center Incdba Wojciech Dulowskimd11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
James Causon Individual Corporate OfficerCeo Sep 12, 2022
W-2 Managing Employee Sep 11, 2022
Adair County Health Center Inc Organization, Stilwell, OK Corporation, Non-profit Operational/Managerial Control May 19, 1975 100%

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Memorial HospitalStilwell, OK, CCN 370785 Hospital Operational/Managerial Control Sep 1, 1977

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346219474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 272",
            "city": "STILWELL",
            "state": "OK",
            "postal_code": "749600272",
            "telephone_number": "918-696-0281",
            "fax_number": "918-696-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W LOCUST ST",
            "city": "STILWELL",
            "state": "OK",
            "postal_code": "749603217",
            "telephone_number": "918-696-0281",
            "fax_number": "918-696-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAIR COUNTY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "918-696-3101",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "7109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Hospital Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stilwell, OK

Sources for this page

Verify at the official NPI Registry.