Organization Active NPI

Logan Hospital and Medical Center Authority

  • Rural Health Clinic/Center
  • Guthrie, OK
National Provider Identifier
1376541136
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
2267 Issued in OK
Legal business name
LOGAN HOSPITAL AND MEDICAL CENTER AUTHORITY
Practice address
2919 S Division St
Guthrie, OK 73044-6806
Phone
(405) 282-6301
Fax
(405) 282-6364
NPI assigned
Jul 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

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
Rural Health Clinic/Center 261QR1300X 2267 OK Primary

Addresses

Primary practice location

2919 S Division St
Guthrie, OK 73044-6806

Mailing address

PO Box 1017
Guthrie, OK 73044-1017
Phone (405) 282-6301

Other identifiers 3

IdentifierTypeStateIssuer
100700110JMedicaidOK
100700110EMedicaidOK
CD8588OtherRAILROAD MEDICARE

Other names 1

  • LMC - South Division 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": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269388800000",
    "number": "1376541136",
    "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": "405-282-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 S DIVISION ST",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730446806",
            "telephone_number": "405-282-6301",
            "fax_number": "405-282-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGAN HOSPITAL AND MEDICAL CENTER AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2010-03-24",
        "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": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "OK",
            "license": "2267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100700110J",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100700110E",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD8588",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LMC - South Division",
            "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 Mar 24, 2010; 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.