Creek Nation Hospital & Clinics
Organization Active NPI Long Term Care Hospital · Okmulgee, OK
NPI 1376979955 · NPPES record last updated May 18, 2022
Key facts
- NPI
- 1376979955
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Hospital 282E00000X
- Legal business name
- CREEK NATION HOSPITAL & CLINICS
- Practice address
- 1401 Morris Dr
Okmulgee, OK 74447 - Phone
- (918) 756-4233
- NPI assigned
- Sep 16, 2013
- Organization subpart
- No
Authorized official
- Name
- Shawn Terry
- Title
- Secretary of Health
- Phone
- (918) 756-4333
Owners & managing parties with NPI records 1
-
Lawrence E Vark, D.O.
Owned or controlled facilities with NPI records 1
Other NPIs on the same Medicare enrollment 8
Other NPIs with the same Medicare PAC ID 16
Related certifications (CCN) 2
Practitioners 398
-
Tyler Braaten, M.D.
-
Malyke Bray, PA-C
-
Alice Ann Coe, M.S., L.P.C.
-
Brandon Arthur Conkling, D.O.
-
Trever Engler, APRN
-
Betsy Jean Graham-Moeller, APRN, FNP
-
Breanna Jacobitz, DO
-
Charity Bennett Jones, MS, CCC-SLP
-
Douglas B Kliewer, M. D.
-
Amanda Miller, CRNA
-
Jessica Marie Miller, FNP-C
-
Allen R Molloy, MD
-
Crystal Dawn Pelley, MS, RD, CDCES, LD
-
Catherine Anne Shaeffer, M.D.
-
Sara Lynn Walton, PA
Affiliated clinicians 143
-
Ryley Andersen, DPM
-
Sheryl Wesley Angel, CNP
-
Daniel Ray Asher, MD
-
Veronica Avila, M.D.
-
Yeganeh Azimi, PAC
-
Myra Lea Berry, APRN
-
Sandeep K Bhatia, M.D.
-
Bert Eric Blackwell, D.O.
-
Matt Morey Blankenship, M.D.
-
Jeffery James Blonsky, M.D.
-
Michael Blose, DO
-
Jonathan Daniel Bouldin, APRN-CNP
-
Benjamin Bradley, CNP
-
Meagan Leigh Brady, M.D.
-
Pavan Brar, MD
-
Malyke Bray, PA-C
-
Cristin M Bruns, MD
-
Justin Dale Campbell, D.C.
-
Brawna Chowins, APRN-CNP
Medicare Care Compare: Hospital
- Listed as
- Muscogee (Creek) Nation Medical Center
- Type
- Acute Care Hospitals
- Ownership
- Tribal
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare Care Compare: Long-term care hospital
- Listed as
- Muscogee (Creek) Nation Long Term Acute Care Hospi
- Ownership
- Tribal
- Certified
- Oct 25, 2012
- Medicare certification status
- Active
- Beds
- 16
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in OK, TX
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
- Other · Non-profit
- Enrollment address
- 1401 Morris Drive
Muscogee (Creek) Nation Medical Center
Okmulgee, OK 74447-6429 - Hospital subgroups
- General, Acute care
All disclosed owners & managing parties 5
| Name | Role | Since | Share |
|---|---|---|---|
| Rhonda K Beaver |
Corporate Officer |
Jan 1, 2022 | |
| Muscogee Creek Nation |
5% Or Greater Direct Ownership Interest | Dec 30, 2013 | 100% |
| Lawrence E Vark |
Corporate Officer |
Jan 1, 2022 | |
| W-2 Managing Employee |
Dec 30, 2013 | 100% | |
| Michelle Hawkins |
W-2 Managing Employee | Oct 31, 2022 | |
| Tracy Randall |
W-2 Managing Employee | Oct 31, 2022 |
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Creek Nation Community Hospital |
Hospital | Operational/Managerial Control | Nov 1, 2007 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Hospital | 282E00000X | Yes |
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
- Muscogee (Creek) Nation Long Term Acute Care Hospital
Other providers in Okmulgee, OK
- Creek Nation Hospital & Clinics
- Creek Nation Hospital & Clinics
- Creek Nation Hospital & Clinics
- Creek Nation Hospital & Clinics
- Creek Nation Hospital & Clinics
- Creek Nation Hospital & Clinics
- Creek Nation Hospital & Clinics
- Creek Nation Hospital & Clinics
- Creek Nation Hospital & Clinics
- Creek Nation Hospital & Clinics
All providers in Okmulgee, OK · Long Term Care Hospital in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.