Mayes County Hma Home Health LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

4035 Issued in OK

Legal business name

MAYES COUNTY HMA HOME HEALTH LLC

Doing business as

INTEGRIS Hospice of Mayes County

Practice address

1025 NE 1St St
Pryor, OK 74361-4003

Phone

(918) 825-1600

NPI assigned

Jul 25, 2006

Last updated

Dec 4, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steven Clifton

Title

Sr Vice President/General Counsel

Phone

(239) 598-3131

Specialties & licenses 1

Addresses

Other names 1

• INTEGRIS Hospice of Mayes County Doing business as

Locations

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354579200000",
    "number": "1386667111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N BAILEY ST",
            "city": "PRYOR",
            "state": "OK",
            "postal_code": "743614201",
            "telephone_number": "918-825-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 NE 1ST ST",
            "city": "PRYOR",
            "state": "OK",
            "postal_code": "743614003",
            "telephone_number": "918-825-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYES COUNTY HMA HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2012-12-04",
        "status": "A",
        "authorized_official_last_name": "CLIFTON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "SR VICE PRESIDENT/GENERAL COUNSEL",
        "authorized_official_telephone_number": "239-598-3131"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OK",
            "license": "4035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTEGRIS Hospice of Mayes County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yolanda Martinez-Stateler
• Shannon Ann Marie Martinez
• Scott G Mattison
• Jemmie Renah Mauk
• Rickey Lee Mauk II
• Mayes County Hma, LLC (AllianceHealth Pryor)
• Mayes County Hma, LLC (AllianceHealth Pryor)
• Mayes County HMPN, LLC
• Mayes County HMPN, LLC (Family Medicine Clinic of Pryor)
• Mayes County HMPN, LLC (General Surgery Clinic of Pryor)

• Community Based Hospice Care Agency in Pryor, OK
• Providers in Pryor, OK by specialty
• Community Based Hospice Care Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.