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Roger Mills County Hospital Authority

Organization Active NPI Critical Access Hospital · Cheyenne, OK

NPI 1497857437 · NPPES record last updated Dec 5, 2017

Key facts

NPI
1497857437
Entity type
Organization (NPI type 2)
Primary specialty
Critical Access Hospital 282NC0060X
License
2209 (OK)
Legal business name
ROGER MILLS COUNTY HOSPITAL AUTHORITY
Practice address
501 S LL Males Ave
Cheyenne, OK 73628-0219
Phone
(580) 497-3336
Fax
(580) 497-2124
NPI assigned
Sep 1, 2006
Organization subpart
No

Authorized official

Name
Cynthia Ellen Duncan
Title
Ceo
Phone
(580) 497-3336

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 1

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

Other NPIs with the same Medicare PAC ID 2

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

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Corporate family (same tax ID) 2

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

Facilities connected through Provider of Services related, parent or unit certification numbers.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 17

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Medicare Care Compare: Hospital

Listed as
Roger Mills Memorial Hospital CCN 371303
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in OK

Hospital certification: CCN 371303

Legal name
ROGER MILLS COUNTY HOSPITAL AUTHORITY
Doing business as
ROGER MILLS MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Apr 1, 1999
Last certification
Sep 6, 2024
Beds
15
Ownership / control type
Private (not for profit)
Organization structure
Other · Non-profit
Enrollment address
501 S LL Males Ave
Cheyenne, OK 73628-0219

Hospital certification: CCN 37Z303

Legal name
ROGER MILLS COUNTY HOSPITAL AUTHORITY
Doing business as
ROGER MILLS MEMORIAL HOSPITAL
Organization structure
Other · Non-profit
Enrollment address
501 S LL Males Ave
Cheyenne, OK 73628-0001
Other Hospital Practice Location

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Cynthia E Duncan
Individual 		Corporate Officer
Ceo		 Jul 13, 2015 100%
W-2 Managing Employee
Ceo		 Jul 21, 2015 100%
Roger Mills County Hospital Authority
Organization · Cheyenne, OK 		Operational/Managerial Control Apr 1, 1999

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Buster Rural Health Clinic
Cheyenne, OK · CCN 373999		 Rural health clinic Operational/Managerial Control Mar 14, 1994

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20090831000675 OK Part a Provider - Critical Access Hospital 7113827403 Receives reassigned benefits from 1 practitioner
Practice locations: Cheyenne, OK
O20090831000679 OK Part a Provider - Critical Access Hospital 7113827403 Practice locations: Cheyenne, OK

National Provider Directory

Tax ID family
Roger Mills Memorial Ho (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 2209 OK Yes

Addresses

Primary practice location

501 S LL Males Ave
Cheyenne, OK 73628-0219

Mailing address

PO Box 219
Cheyenne, OK 73628-0219
Phone (580) 497-3336

Other identifiers

IdentifierTypeStateIssuer
000370131001OtherOKBCBS
100699820AMedicaidOK

Other names

  • Roger Mills Memorial Hospital Doing business as

Other providers in Cheyenne, OK

All providers in Cheyenne, OK · Critical Access Hospital in Oklahoma

Sources for this page

Verify at the official NPI Registry.