NPIMap

Organization Active NPI

Wagoner Hospital Authority

Doing business as Wagoner Hospital Authority dba Wagoner Community Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Wagoner, OK
National Provider Identifier
1477398246
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
WAGONER HOSPITAL AUTHORITY
Doing business as
Wagoner Hospital Authority dba Wagoner Community Hospital
Practice address
1200 W Cherokee St
Wagoner, OK 74467-4624
Phone
(918) 485-1236
Fax
(918) 485-3585
NPI assigned
Jun 25, 2024
Last updated
Jun 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Authorized official

Name
Debi L Hamilton
Title
Boardchair
Phone
(918) 485-1238

Specialties & licenses 1

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

Addresses

Primary practice location

1200 W Cherokee St
Wagoner, OK 74467-4624

Mailing address

1200 W Cherokee St
Wagoner, OK 74467-4624
Phone (918) 485-1236

Other names 1

  • Wagoner Hospital Authority dba Wagoner Community Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wagoner Hospital Authority4 organizations share this tax ID, including this one

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": "1719273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1477398246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W CHEROKEE ST",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744674624",
            "telephone_number": "918-485-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W CHEROKEE ST",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744674624",
            "telephone_number": "918-485-1236",
            "fax_number": "918-485-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAGONER HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "DEBI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BOARDCHAIR",
        "authorized_official_telephone_number": "918-485-1238"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wagoner Hospital Authority dba Wagoner Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wagoner, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.