NPIMap

Organization Active NPI

Muskogee Regional Medical Center LLC

  • Psychiatric Hospital Unit
  • Muskogee, OK
National Provider Identifier
1467594432
Registry record updated May 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
2177 Issued in OK
Legal business name
MUSKOGEE REGIONAL MEDICAL CENTER LLC
Practice address
300 Rockefeller Dr
Muskogee, OK 74401-5075
Phone
(918) 682-5501
Fax
(918) 684-2552
NPI assigned
Feb 13, 2007
Organization subpart
Yes
Parent organization
MUSKOGEE REGIONAL MEDICAL CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 1, 2009

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

Authorized official

Name
Daniel S. Slipkovich
Title
Ceo
Phone
(615) 764-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 2177 OK Primary

Addresses

Primary practice location

300 Rockefeller Dr
Muskogee, OK 74401-5075

Mailing address

501 Corporate Centre Dr
Suite 200
Franklin, TN 37067-2659
Phone (615) 764-3000

Other identifiers 1

IdentifierTypeStateIssuer
100700630HMedicaidOK

Other names 1

  • Muskogee Regional Medical Center Psychiatric Unit Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Muskogee Regional Medical Center LLC4 organizations share this tax ID, including this one
Part of
Muskogee Regional Medical Center

Other organizations with this tax ID 3

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": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241136000000",
    "number": "1467594432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 CORPORATE CENTRE DR",
            "address_2": "SUITE 200",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672659",
            "telephone_number": "615-764-3000",
            "fax_number": "615-764-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ROCKEFELLER DR",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744015075",
            "telephone_number": "918-682-5501",
            "fax_number": "918-684-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSKOGEE REGIONAL MEDICAL CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MUSKOGEE REGIONAL MEDICAL CENTER, LLC",
        "enumeration_date": "2007-02-13",
        "last_updated": "2009-05-01",
        "status": "A",
        "authorized_official_last_name": "SLIPKOVICH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-764-3000"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "OK",
            "license": "2177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100700630H",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Muskogee Regional Medical Center Psychiatric Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muskogee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; 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.