Alva Hospital Authority
Organization Active NPI Multi-Specialty Clinic/Center · Alva, OK
NPI 1447413422 · NPPES record last updated Aug 27, 2025
Key facts
- NPI
- 1447413422
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- ALVA HOSPITAL AUTHORITY
- Practice address
- 410 4TH St Ste J
Alva, OK 73717-2363 - Phone
- (580) 430-3333
- Fax
- (580) 430-3333
- NPI assigned
- Jul 9, 2008
- Reactivated
- Jul 8, 2020
- Organization subpart
- Yes
- Parent organization (as reported)
- ALVA HOSPITAL AUTHORITY
Authorized official
- Name
- Kandice Allen
- Title
- Ceo
- Phone
- (580) 430-3309
Parent organization (reported in NPPES) 1
Other NPIs on the same Medicare enrollment 5
Corporate family (same tax ID) 1
Practitioners 14
-
Toby Abraham, DO
-
Brian W. Cook, D.O.
-
Thomas Frasier Engle, PA-C
-
John Marshall Huser IV, M.D.
-
Steve M Madrid, PA
-
Emily E Nayar, P.A.-C
-
Robert William Rader, M.D., D.PH.
-
Addison Pierce Roberts, D.O.
-
David T Rothwell, MD
-
Landry Shipman, DO
-
Brady Don Reed, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040514000014 | OK | Part B Supplier - Clinic/Group Practice | 5597755306 |
Receives reassigned benefits from 26 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Alva, OK |
National Provider Directory
- Tax ID family
- Share Health Center
- Part of
- Share Health Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
410 4TH St Ste J
Alva, OK 73717-2363
Mailing address
800 Share Dr
Alva, OK 73717-3618
Phone (580) 430-3345
Other practice location 1
410 4th St Ste K
Alva, OK 73717-2363
Phone (580) 327-2800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100699830L | Medicaid | OK | |
| 200182150A | Medicaid | OK |
Other names
- SMC Physicians Clinic
Other providers in Alva, OK
- Kay Albitz
- Alva Chiropractic Clinic, P.L.L.C.
- Alva EMS
- Alva Health and Wellness PLLC
- Alva Hospital Authority
- Alva Hospital Authority
- Alva Hospital Authority
- Alva Hospital Authority
- Alva Hospital Authority
- Karmen Ann Andrews
All providers in Alva, OK · Multi-Specialty Clinic/Center in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.