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Creek Nation Hospital & Clinics

Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Okmulgee, OK

NPI 1376972471 · NPPES record last updated Oct 27, 2021

Key facts

NPI
1376972471
Entity type
Organization (NPI type 2)
Primary specialty
Medicare Defined Swing Bed Hospital Unit 275N00000X
Legal business name
CREEK NATION HOSPITAL & CLINICS
Practice address
1401 Morris Dr
Okmulgee, OK 74447-6429
Phone
(918) 756-4233
Fax
(918) 758-3766
NPI assigned
Nov 8, 2013
Organization subpart
No

Authorized official

Name
Shawn Terry
Title
Secretary of Health
Phone
(918) 756-4333

Owned or controlled facilities with NPI records 1

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

Other NPIs with the same Medicare PAC ID 16

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

Corporate family (same tax ID) 24

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

Facilities connected through Provider of Services related, parent or unit certification numbers.

Facilities with the same owner 3

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

Practitioners 364

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 364

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OK

Hospital certification: CCN 37U057

Legal name
CREEK NATION HOSPITAL & CLINICS
Doing business as
MUSCOGEE (CREEK) NATION MEDICAL CENTER
Organization structure
Other · Non-profit
Enrollment address
1401 Morris Drive
Muscogee (Creek) Nation Medical Center
Okmulgee, OK 74447-6429
Hospital Swing-Bed Unit
Hospital subgroups
Swing-bed approved

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Muscogee Creek Nation
Organization · Okmulgee, OK 		5% Or Greater Direct Ownership Interest Dec 30, 2013 100%
Tim Hicks
Individual 		Corporate Officer
Deputy Secretary of Health		 Oct 1, 2024
W-2 Managing Employee
Deputy Secretary of Health		 Jan 1, 2000
Brenda Crawford
Individual 		Corporate Officer
Chief Financial Officer		 Aug 21, 2017
W-2 Managing Employee Aug 21, 2017
Shawn W Terry
Individual 		Corporate Officer
Secretary of Health		 Oct 1, 2024
W-2 Managing Employee
Secretary of Health		 Oct 1, 2024
Tracy Randall
Individual 		W-2 Managing Employee Feb 1, 2000

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Creek Nation Community Hospital
Okemah, OK · CCN 37Z333		 Hospital Operational/Managerial Control Nov 1, 2007

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20140804001114 OK Part a Provider - Hospital 5698786226 Practice locations: Okmulgee, OK

National Provider Directory

Tax ID family
Creek Nation Hospital and Clinics (84 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X Yes
General Acute Care Hospital 282N00000X

Addresses

Primary practice location

1401 Morris Dr
Okmulgee, OK 74447-6429

Mailing address

Dept 1467
Tulsa, OK 74182-0001
Phone (918) 756-4333

Other names

  • Muscogee Creek Nation Medical Center Doing business as

Other providers in Okmulgee, OK

All providers in Okmulgee, OK · Medicare Defined Swing Bed Hospital Unit in Oklahoma

Sources for this page

Verify at the official NPI Registry.