Active NPI
Logan Hospital and Medical Center Authority
- Rural Health Clinic/Center
- Guthrie, OK
National Provider Identifier
1376541136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- License
- 2267
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100700110J | Medicaid | OK | |
| 100700110E | Medicaid | OK | |
| CD8588 | Other | RAILROAD MEDICARE |
Other names 1
- LMC - South Division
National Provider Directory
National Provider DirectoryNPI 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
- Erika Faith Lindbloom
- Logan Community Services
- Logan Community Services
- Logan Hospital and Medical Center Authority
- Logan Hospital and Medical Center Authority
- Logan Hospital and Medical Center Authority
- Logan Hospital and Medical Center Authority
- Gary Errol London, DPH
- Margaret A. Lorimor, FNP C RN MSN
- Pam Haynes Macedo, M.ED
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.