NPIMap

Organization Active NPI

Blackwell Hospital Trust Authority

Doing business as Blackwell Hospital Physicians Clinic

  • Rural Health Clinic/Center
  • Blackwell, OK
National Provider Identifier
1609355312
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
BLACKWELL HOSPITAL TRUST AUTHORITY
Doing business as
Blackwell Hospital Physicians Clinic
Practice address
706 S 13TH St Ste C
Blackwell, OK 74631-3705
Phone
(580) 363-2311
NPI assigned
Aug 13, 2018
Last updated
Aug 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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

Authorized official

Name
Steven Taylor
Title
Ceo
Phone
(580) 363-2311

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary
Internal Medicine Physician 207R00000X NU

Addresses

Primary practice location

706 S 13TH St Ste C
Blackwell, OK 74631-3705

Mailing address

PO Box 720402
Norman, OK 73070-4296
Phone (580) 363-2311

Other names 1

  • Blackwell Hospital Physicians Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Blackwell Regional Hospital Trust Authority4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1534118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534118400000",
    "number": "1609355312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 720402",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730704296",
            "telephone_number": "580-363-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 S 13TH ST STE C",
            "city": "BLACKWELL",
            "state": "OK",
            "postal_code": "746313705",
            "telephone_number": "580-363-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKWELL HOSPITAL TRUST AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-13",
        "last_updated": "2018-08-13",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "580-363-2311"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blackwell Hospital Physicians Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blackwell, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; 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.