Pauls Valley General Hospital

Primary specialty

Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X

License

2288 Issued in OK

Legal business name

PAULS VALLEY GENERAL HOSPITAL

Practice address

100 Valley Drive
Pauls Valley, OK 73075-6613

Phone

(405) 238-5501

Fax

(405) 238-5926

NPI assigned

Apr 4, 2006

Organization subpart

Yes

Parent organization

PAULS VALLEY GENERAL HOSPITALAs reported in NPPES

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

Authorized official

Name

Brent Mynhier

Title

Chief Financial Officer

Phone

(405) 238-5501

Specialties & licenses 1

Addresses

Part of

Pauls Vly Gen Hosp

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1508828625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730756613",
            "telephone_number": "405-238-5501",
            "fax_number": "405-238-5926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 VALLEY DRIVE",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730756613",
            "telephone_number": "405-238-5501",
            "fax_number": "405-238-5926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULS VALLEY GENERAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAULS VALLEY GENERAL HOSPITAL",
        "enumeration_date": "2006-04-04",
        "last_updated": "2009-09-30",
        "status": "A",
        "authorized_official_last_name": "MYNHIER",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "405-238-5501"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "OK",
            "license": "2288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pauls Valley General Hospital
• Pauls Valley General Hospital (Pauls Valley General Hospital Home Services)
• Pauls Valley General Hospital (Valley Hospice)
• Pauls Valley General Hospital
• Pauls Valley General Hospital (Pauls Valley Physicians Clinic)
• Pauls Valley General Hospital (Pauls Valley General Hospital SNF)
• Pauls Valley General Hospital
• Pauls Valley Urgent Care LLC
• Alisha Pearson
• Stanley Earl Peters Jr., BA

• Medicare Defined Swing Bed Hospital Unit in Pauls Valley, OK
• Providers in Pauls Valley, OK by specialty
• Medicare Defined Swing Bed Hospital Unit in Oklahoma

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