NPIMap

Organization Active NPI

Duncan Regional Hospital Inc

Doing business as Jefferson County Hospital

  • Critical Access Hospital
  • Waurika, OK
National Provider Identifier
1518405331
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
DUNCAN REGIONAL HOSPITAL INC
Doing business as
Jefferson County Hospital
Practice address
U.S. Highways 70 & 81
Waurika, OK 73573-0090
Phone
(580) 228-2344
Fax
(580) 228-3410
NPI assigned
Feb 1, 2017
Last updated
Feb 1, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Authorized official

Name
Douglas Richard Volinski
Title
Cfo
Phone
(580) 251-8554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

U.S. Highways 70 & 81
Waurika, OK 73573-0090

Mailing address

PO Box 90
Waurika, OK 73573-0090
Phone (580) 228-2344

Other names 1

  • Jefferson County Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170405001167 OK Part A Provider - Critical Access Hospital 5193613057 Receives reassigned benefits from 6 practitioners
7 other NPIs on this enrollment
Practice locations: Waurika, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1518405331. Details of each certification follow.

Hospital certification: CCN 371311

Legal name
DUNCAN REGIONAL HOSPITAL, INC
Doing business as
JEFFERSON COUNTY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jul 1, 2000
Last certification
Feb 29, 2024
Beds
25
Ownership / control type
Private (not for profit)
Most recent change of ownership
Feb 1, 2017 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Oct 29, 1976 in OK
Enrollment address
9170 US Highway 70
Waurika, OK 73573-5069
Main/Primary Hospital Location

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

View all 14

Other NPIs with the same Medicare PAC ID 21

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

View all 21

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Jefferson County HospitalCCN 371311 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Dean Fullingim MD16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Kenneth Miller Individual Corporate OfficerCfo May 19, 2025
Sherry McKay Individual W-2 Managing EmployeeManager Sep 30, 2024
Lisa High Individual Corporate DirectorRevenue Cycle Director Sep 14, 2020
Lety Almeida Individual W-2 Managing EmployeeCredentialing Specialist Sep 19, 2019
John Edgar Individual Corporate OfficerPresident Feb 1, 2022

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Duncan Regional Hospital, IncDuncan, OK, CCN 37T023 Hospital Operational/Managerial Control Nov 1, 2007
Duncan Regional Hospital, IncDuncan, OK, CCN 37S023 Hospital Operational/Managerial Control Jul 1, 2009
Duncan Regional Hospital, IncDuncan, OK, CCN 377142 Home health agency 5% Or Greater Direct Ownership Interest Nov 1, 2007
Chisholm Trail HospiceDuncan, OK, CCN 371553 Hospice 5% Or Greater Direct Ownership Interest (100%) Nov 10, 2011

Owned or controlled facilities with NPI records 4

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

Practitioners & affiliated clinicians

Practitioners 42

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 42

Affiliated clinicians 61

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

View all 61

NPI Registry JSON

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485907200000",
    "number": "1518405331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90",
            "city": "WAURIKA",
            "state": "OK",
            "postal_code": "735730090",
            "telephone_number": "580-228-2344",
            "fax_number": "580-228-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "U.S. HIGHWAYS 70 & 81",
            "city": "WAURIKA",
            "state": "OK",
            "postal_code": "735730090",
            "telephone_number": "580-228-2344",
            "fax_number": "580-228-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNCAN REGIONAL HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-02-01",
        "status": "A",
        "authorized_official_last_name": "VOLINSKI",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "580-251-8554"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson County Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waurika, OK

Sources for this page

Verify at the official NPI Registry.