NPIMap

Organization Active NPI

Claremore Indian Hospital

  • General Acute Care Hospital
  • Claremore, OK
National Provider Identifier
1588962989
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
CLAREMORE INDIAN HOSPITAL
Practice address
101 S Moore Ave
Claremore, OK 74017-5047
Phone
(918) 342-6200
Fax
(918) 342-6436
NPI assigned
Mar 9, 2011
Organization subpart
Yes
Parent organization
CLAREMORE INDIAN HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Authorized official

Name
Mr. George Valliere
Title
Chief Executive Officer
Phone
(918) 342-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

101 S Moore Ave
Claremore, OK 74017-5047

Mailing address

PO Box 676735
Dallas, TX 75267-6735
Phone (918) 342-6200

Other identifiers 1

IdentifierTypeStateIssuer
100700620MMedicaidOK

National Provider Directory

National Provider Directory
Tax ID family
Claremore IHS Pharmacy3 organizations share this tax ID, including this one
Part of
Claremore IHS Pharmacy

Other organizations with this tax ID 2

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": "1299628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1588962989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 676735",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752676735",
            "telephone_number": "918-342-6200",
            "fax_number": "918-342-6436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S MOORE AVE",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740175047",
            "telephone_number": "918-342-6200",
            "fax_number": "918-342-6436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAREMORE INDIAN HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLAREMORE INDIAN HOSPITAL",
        "enumeration_date": "2011-03-09",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "VALLIERE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "918-342-6200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100700620M",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.