NPIMap

Organization Active NPI

Sequoyah City County Trust Authority

Doing business as Sequoyah Memorial Hospital

  • Non-Pharmacy Dispensing Site
  • Sallisaw, OK
National Provider Identifier
1538299268
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
344802 Issued in OK
Legal business name
SEQUOYAH CITY COUNTY TRUST AUTHORITY
Doing business as
Sequoyah Memorial Hospital
Practice address
213 E Redwood Ave
Sallisaw, OK 74955-2811
Phone
(918) 774-1100
NPI assigned
Mar 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Charles E. Wade
Title
Ceo
Phone
(918) 774-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X 344802 OK Primary

Addresses

Primary practice location

213 E Redwood Ave
Sallisaw, OK 74955-2811

Mailing address

213 E Redwood Ave
PO Box 505
Sallisaw, OK 74955-2811
Phone (918) 774-1100

Other identifiers 1

IdentifierTypeStateIssuer
344802OtherOKINPATIENT PHARMACY

Other names 1

  • Sequoyah Memorial Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sequoyah Memorial Hospital14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538299268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 E REDWOOD AVE",
            "address_2": "PO BOX 505",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749552811",
            "telephone_number": "918-774-1100",
            "fax_number": "918-774-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 E REDWOOD AVE",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749552811",
            "telephone_number": "918-774-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUOYAH CITY COUNTY TRUST AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-774-1100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "OK",
            "license": "344802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INPATIENT PHARMACY",
            "identifier": "344802",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sequoyah Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sallisaw, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.