NPIMap

Organization Active NPI

Stillwater Medical Center Authority

Doing business as Cimarron Medical Services

  • Durable Medical Equipment & Medical Supplies
  • Stillwater, OK
National Provider Identifier
1407937220
Registry record updated Apr 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
STILLWATER MEDICAL CENTER AUTHORITY
Doing business as
Cimarron Medical Services
Practice address
1200 S Adams St
Stillwater, OK 74074
Phone
(405) 377-9735
Fax
(405) 372-3890
NPI assigned
Oct 18, 2006
Last updated
Apr 12, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
STILLWATER MEDICAL CENTER AUTHORITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 12, 2019

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

Authorized official

Name
Mr. Alan Lovelace
Title
Cfo
Phone
(405) 377-9735

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

1200 S Adams St
Stillwater, OK 74074

Mailing address

1200 S Adams St
Stillwater, OK 74074-5477
Phone (405) 377-9735

Other practice location 1

723 Eastgate St
Stillwater, OK 74074-6413
Phone (405) 377-9735

Other identifiers 1

IdentifierTypeStateIssuer
100699950BMedicaidOK

Other names 1

  • Cimarron Medical Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930038433 OK DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 2365353794 Practice locations: Stillwater, OK

Other NPIs with the same Medicare PAC ID 10

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Cimarron Medical Supply1200 S Adams St, Stillwater, OK 74074-5477(405) 377-9735 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Ultraviolet Light Devices and/or Supplies|Canes and/or Crutches|Patient Lifts|Seat Lift Mechanisms|Walkers|Wheelchairs (Standard Manu… Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Phillip Newman28 organizations share this tax ID, including this one
Part of
Phillip Newman

Other organizations with this tax ID 27

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

View all 27

Locations

1200 S Adams St
Stillwater, OK 74074
Phone (405) 377-9735

723 Eastgate St
Stillwater, OK 74074
Phone (405) 377-9735

Ownership & related parties

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Stillwater Medical CenterStillwater, OK, CCN 370049 Hospital Operational/Managerial Control Oct 30, 2007
Stillwater Medical CenterStillwater, OK, CCN 37T049 Hospital Operational/Managerial Control Oct 30, 2007
Stillwater Medical PerryPerry, OK, CCN 370779 Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2018
Stillwater Medical - BlackwellBlackwell, OK, CCN 370780 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2020
Stillwater Medical at Home - Home HealthStillwater, OK, CCN 377204 Home health agency 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Oct 27, 1992
Oct 27, 1992
Stillwater Medical at HomeStillwater, OK, CCN 371500 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jun 30, 2017
Community Medical ClinicPerry, OK, CCN 373495 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2018
Perry Family PhysiciansPerry, OK, CCN 378531 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2018
Blackwell Primary CareBlackwell, OK, CCN 378545 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2018

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555027200000",
    "number": "1407937220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S ADAMS ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740745477",
            "telephone_number": "405-377-9735",
            "fax_number": "405-372-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S ADAMS ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "74074",
            "telephone_number": "405-377-9735",
            "fax_number": "405-372-3890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "723 Eastgate St",
            "address_purpose": "LOCATION",
            "city": "Stillwater",
            "state": "OK",
            "postal_code": "740746413",
            "country_code": "US",
            "telephone_number": "405-377-9735",
            "fax_number": "405-372-3890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STILLWATER MEDICAL CENTER AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STILLWATER MEDICAL CENTER AUTHORITY",
        "enumeration_date": "2006-10-18",
        "last_updated": "2019-04-12",
        "status": "A",
        "authorized_official_last_name": "LOVELACE",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "405-377-9735",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100699950B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cimarron Medical Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cimarron Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stillwater, OK

Sources for this page

Verify at the official NPI Registry.