NPIMap

Organization Active NPI

Creek Nation Hospital & Clinics

Doing business as Muscogee (Creek) Nation Long Term Acute Care Hospital

  • Long Term Care Hospital
  • Okmulgee, OK
National Provider Identifier
1376979955
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
Legal business name
CREEK NATION HOSPITAL & CLINICS
Doing business as
Muscogee (Creek) Nation Long Term Acute Care Hospital
Practice address
1401 Morris Dr
Okmulgee, OK 74447
Phone
(918) 756-4233
NPI assigned
Sep 16, 2013
Last updated
May 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X Primary

Addresses

Primary practice location

1401 Morris Dr
Okmulgee, OK 74447

Mailing address

Dept 1038
Tulsa, OK 74182-0001
Phone (918) 756-4333

Other practice location 1

900 E Airport Rd
Okmulgee, OK 74447-9082
Phone (918) 756-9211

Other names 1

  • Muscogee (Creek) Nation Long Term Acute Care Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20070821000130 OK Part B Supplier - Clinic/Group Practice 5698786226 Receives reassigned benefits from 770 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Jenks, OK; Okmulgee, OK; Tulsa, OK
O20140804000664 OK Part A Provider - Hospital 5698786226 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Okmulgee, OK
O20230912004222 TX Part A Provider - Indian Health Services Facility 5698786226 Practice locations: Okmulgee, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376979955. Details of each certification follow.

Hospital certification: CCN 370057

Legal name
CREEK NATION HOSPITAL & CLINICS
Doing business as
MUSCOGEE (CREEK) NATION MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 9, 2025
Beds
66 (20 certified)
Ownership / control type
Tribal
Most recent change of ownership
Dec 30, 2013 (4 total)
Organization structure
OtherNon-profit
Enrollment address
1401 Morris Drive
Muscogee (Creek) Nation Medical Center
Okmulgee, OK 74447-6429
Other Hospital Practice Location
Hospital subgroups
General, Acute care

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

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Muscogee (Creek) Nation Medical CenterCCN 370057 · All quality measures
Type
Acute Care Hospitals
Ownership
Tribal
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Muscogee (Creek) Nation Long Term Acute Care HospiCCN 372023
Ownership
Tribal
Certified
Oct 25, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Beds
16

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

National Provider Directory

National Provider Directory

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
Rhonda K Beaver Individual Corporate OfficerDirector of Health Policy & Adminis Jan 1, 2022
Muscogee Creek Nation Organization, Okmulgee, OK 5% Or Greater Direct Ownership Interest Dec 30, 2013 100%
Lawrence E Vark Individual Corporate OfficerChief Medical Officer Jan 1, 2022
W-2 Managing EmployeeChief Medical Officer Dec 30, 2013 100%
Michelle Hawkins Individual W-2 Managing Employee Oct 31, 2022
Tracy Randall Individual W-2 Managing Employee Oct 31, 2022

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

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.

Practitioners & affiliated clinicians

Practitioners 76

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 76

Affiliated clinicians 143

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 143

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1376979955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 1038",
            "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": "74447",
            "telephone_number": "918-756-4233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 E Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Okmulgee",
            "state": "OK",
            "postal_code": "744479082",
            "country_code": "US",
            "telephone_number": "918-756-9211",
            "fax_number": "918-756-9452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CREEK NATION HOSPITAL & CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-16",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "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": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Muscogee (Creek) Nation Long Term Acute Care Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Muscogee (Creek) Nation Long Term Acute Care Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Okmulgee, OK

Sources for this page

Verify at the official NPI Registry.