NPIMap

Organization Active NPI

Memorial Hospital of Texas County Authority

Doing business as Memorial Hospital of Texas County Authority - Swing Bed

  • Medicare Defined Swing Bed Hospital Unit
  • Guymon, OK
National Provider Identifier
1407072390
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
2249 Issued in OK
Legal business name
MEMORIAL HOSPITAL OF TEXAS COUNTY AUTHORITY
Doing business as
Memorial Hospital of Texas County Authority - Swing Bed
Practice address
520 Medical Dr
Guymon, OK 73942-4438
Phone
(580) 338-3113
Fax
(580) 468-3442
NPI assigned
Apr 18, 2007
Last updated
Mar 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Authorized official

Name
Tracy Johnson
Title
Ceo
Phone
(580) 338-6515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 2249 OK Primary

Addresses

Primary practice location

520 Medical Dr
Guymon, OK 73942-4438

Mailing address

520 Medical Dr
Guymon, OK 73942-4438
Phone (580) 338-3113

Other names 1

  • Memorial Hospital of Texas County Authority - Swing Bed Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Memorial Hospital15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Locations

520 Medical Dr
Guymon, OK 73942
Phone (580) 338-3113

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1407072390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 MEDICAL DR",
            "city": "GUYMON",
            "state": "OK",
            "postal_code": "739424438",
            "telephone_number": "580-338-3113",
            "fax_number": "580-468-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 MEDICAL DR",
            "city": "GUYMON",
            "state": "OK",
            "postal_code": "739424438",
            "telephone_number": "580-338-3113",
            "fax_number": "580-468-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOSPITAL OF TEXAS COUNTY AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "580-338-6515"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "OK",
            "license": "2249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Hospital of Texas County Authority - Swing Bed",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Memorial Hospital of Texas County Authority - Swing Bed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Guymon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.