Active NPI
Purcell Municipal Hospital
Doing business as Maysville Medical Center
- Rural Acute Care Hospital
- Maysville, OK
National Provider Identifier
1598964637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Acute Care Hospital
- Legal business name
- PURCELL MUNICIPAL HOSPITAL
- Doing business as
- Maysville Medical Center
- Practice address
- 504 Williams Street
Maysville, OK 73057-0660 - Phone
- (405) 867-4404
- Fax
- (405) 867-4520
- NPI assigned
- Jul 17, 2007
- Organization subpart
- Yes
- Parent organization
- PURCELL MUNICIPAL HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James T Berry
- Title
- Ceo
- Phone
- (405) 527-6524
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Acute Care Hospital | 282NR1301X | Primary |
Addresses
Primary practice location
504 Williams Street
Maysville, OK 73057-0660
Mailing address
504 Williams Street
P.O. Box 660
Maysville, OK 73057-0660
Phone (405) 867-4404
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100699900L | Medicaid | OK |
Other names 1
- Maysville Medical Center
National Provider Directory
National Provider Directory- Part of
- Purcell Municipal Hosp
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Purcell, OK
- NPI 1902878226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271203200000",
"number": "1598964637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 WILLIAMS STREET",
"address_2": "P.O. BOX 660",
"city": "MAYSVILLE",
"state": "OK",
"postal_code": "730570660",
"telephone_number": "405-867-4404",
"fax_number": "405-867-4520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 WILLIAMS STREET",
"city": "MAYSVILLE",
"state": "OK",
"postal_code": "730570660",
"telephone_number": "405-867-4404",
"fax_number": "405-867-4520"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PURCELL MUNICIPAL HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PURCELL MUNICIPAL HOSPITAL",
"enumeration_date": "2007-07-17",
"last_updated": "2010-04-14",
"status": "A",
"authorized_official_last_name": "BERRY",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "405-527-6524",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "282NR1301X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Rural",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100699900L",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Maysville Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Maysville, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.