NPIMap

Organization Active NPI

County of Tillman-City of Frederick Hospital Authority

Doing business as Memorial Hospital & Physician Group

  • Medicare Defined Swing Bed Hospital Unit
  • Frederick, OK
National Provider Identifier
1356466817
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
2213 Issued in OK
Legal business name
COUNTY OF TILLMAN-CITY OF FREDERICK HOSPITAL AUTHORITY
Doing business as
Memorial Hospital & Physician Group
Practice address
319 E Josephine Ave
Frederick, OK 73542-2220
Phone
(580) 335-7565
Fax
(580) 335-7329
NPI assigned
Mar 20, 2007
Last updated
Apr 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2012

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

Authorized official

Name
Mrs. Lisa Hart
Title
Cfo
Phone
(580) 335-7565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 2213 OK Primary

Addresses

Primary practice location

319 E Josephine Ave
Frederick, OK 73542-2220

Mailing address

319 E Josephine Ave
Frederick, OK 73542-2220
Phone (580) 335-7565

Other names 1

  • Memorial Hospital & Physician Group 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": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1356466817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 E JOSEPHINE AVE",
            "city": "FREDERICK",
            "state": "OK",
            "postal_code": "735422220",
            "telephone_number": "580-335-7565",
            "fax_number": "580-335-7329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 E JOSEPHINE AVE",
            "city": "FREDERICK",
            "state": "OK",
            "postal_code": "735422220",
            "telephone_number": "580-335-7565",
            "fax_number": "580-335-7329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF TILLMAN-CITY OF FREDERICK HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "580-335-7565",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "OK",
            "license": "2213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Hospital & Physician Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frederick, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.