Organization Active NPI

Healdton Municipal Hospital (SNF)

  • Medicare Defined Swing Bed Hospital Unit
  • Healdton, OK
National Provider Identifier
1437169489
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
2346 Issued in OK
Legal business name
HEALDTON MUNICIPAL HOSPITAL (SNF)
Practice address
918 S 8TH St
Healdton, OK 73438-2424
Phone
(580) 229-0701
Fax
(580) 229-1454
NPI assigned
Aug 9, 2006
Last updated
Oct 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Authorized official

Name
Jeremy Allen Jones
Title
Administrator
Phone
(580) 229-0701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 2346 OK Primary

Addresses

Primary practice location

918 S 8TH St
Healdton, OK 73438-2424

Mailing address

918 S 8TH St
Healdton, OK 73438-2424
Phone (580) 229-0701

Other identifiers 2

IdentifierTypeStateIssuer
000373456001OtherOKOK BCBS 12-DIGIT #
100748330CMedicaidOK

National Provider Directory

National Provider Directory
Tax ID family
Healdton Municipal Hospital2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1437169489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 S 8TH ST",
            "city": "HEALDTON",
            "state": "OK",
            "postal_code": "734382424",
            "telephone_number": "580-229-0701",
            "fax_number": "580-229-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 S 8TH ST",
            "city": "HEALDTON",
            "state": "OK",
            "postal_code": "734382424",
            "telephone_number": "580-229-0701",
            "fax_number": "580-229-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALDTON MUNICIPAL HOSPITAL (SNF)",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "580-229-0701"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "OK",
            "license": "2346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK BCBS 12-DIGIT #",
            "identifier": "000373456001",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100748330C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Healdton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.