NPIMap

Organization Active NPI

Lawton Indian Hospital

  • Ambulatory Surgical Clinic/Center
  • Lawton, OK
National Provider Identifier
1407023187
Registry record updated Sep 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
LAWTON INDIAN HOSPITAL
Practice address
1515 NE Lawrie Tatum Rd
Lawton, OK 73507-3002
Phone
(580) 354-5150
NPI assigned
May 13, 2008
Last updated
Sep 11, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
LAWTON INDIAN HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 11, 2009

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

Authorized official

Name
Mr. Kevin Meeks
Title
Area Director
Phone
(405) 951-3899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1515 NE Lawrie Tatum Rd
Lawton, OK 73507-3002

Mailing address

1515 NE Lawrie Tatum Rd
Lawton, OK 73507-3002
Phone (580) 354-5150

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071102000312 TX Part B Supplier - Ambulatory Surgical Center 6406800234 1 other NPI on this enrollment
Practice locations: Lawton, OK

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Lawton IHS Pharmacy9 organizations share this tax ID, including this one
Part of
Lawton IHS Pharmacy

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252627200000",
    "number": "1407023187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 NE LAWRIE TATUM RD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735073002",
            "telephone_number": "580-354-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 NE LAWRIE TATUM RD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735073002",
            "telephone_number": "580-354-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWTON INDIAN HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAWTON INDIAN HOSPITAL",
        "enumeration_date": "2008-05-13",
        "last_updated": "2009-09-11",
        "status": "A",
        "authorized_official_last_name": "MEEKS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "AREA DIRECTOR",
        "authorized_official_telephone_number": "405-951-3899",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.