NPIMap

Organization Active NPI

Creek Nation Hospital & Clinics

Doing business as Muscogee Creek Nation Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Okmulgee, OK
National Provider Identifier
1376972471
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
CREEK NATION HOSPITAL & CLINICS
Doing business as
Muscogee Creek Nation Medical Center
Practice address
1401 Morris Dr
Okmulgee, OK 74447-6429
Phone
(918) 756-4233
Fax
(918) 758-3766
NPI assigned
Nov 8, 2013
Last updated
Oct 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Authorized official

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X Primary
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 1

  • Muscogee Creek Nation Medical Center Doing business as

Medicare participation

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

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376972471. Details of each certification follow.

Hospital certification: CCN 37U057

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

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

Other NPIs with the same Medicare PAC ID 16

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

View all 16

National Provider Directory

National Provider Directory
Tax ID family
Creek Nation Hospital and Clinics84 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Ownership & related parties

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 OfficerDeputy Secretary of Health Oct 1, 2024
W-2 Managing EmployeeDeputy Secretary of Health Jan 1, 2000
Brenda Crawford Individual Corporate OfficerChief Financial Officer Aug 21, 2017
W-2 Managing Employee Aug 21, 2017
Shawn W Terry Individual Corporate OfficerSecretary of Health Oct 1, 2024
W-2 Managing EmployeeSecretary 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 HospitalOkemah, OK, CCN 37Z333 Hospital Operational/Managerial Control Nov 1, 2007

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 3

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": "1383868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1376972471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 1467",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741820001",
            "telephone_number": "918-756-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MORRIS DR",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744476429",
            "telephone_number": "918-756-4233",
            "fax_number": "918-758-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEK NATION HOSPITAL & CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-08",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "SECRETARY OF HEALTH",
        "authorized_official_telephone_number": "918-756-4333"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Muscogee Creek Nation Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Muscogee Creek Nation Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Okmulgee, OK

Sources for this page

Verify at the official NPI Registry.