Jefferson County Healthcare Authority

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

2233 Issued in OK

Legal business name

JEFFERSON COUNTY HEALTHCARE AUTHORITY

Doing business as

Ryan Health Clinic

Practice address

1104 6TH Street
Ryan, OK 73565-0157

Phone

(580) 757-2451

NPI assigned

Jul 12, 2006

Last updated

Dec 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Phyllis Jane McDowell

Title

Chief Executive Officer

Phone

(580) 228-2344

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ryan Health Clinic Doing business as

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.

• Gregory Raymond Favorite, PA

  • Physician Assistant
  • Ringling, OK
  • NPI 1164479408
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1609801836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 157",
            "city": "RYAN",
            "state": "OK",
            "postal_code": "735650157",
            "telephone_number": "580-757-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 6TH STREET",
            "city": "RYAN",
            "state": "OK",
            "postal_code": "735650157",
            "telephone_number": "580-757-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON COUNTY HEALTHCARE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "MCDOWELL",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "580-228-2344",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "OK",
            "license": "2233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100730660",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ryan Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mollye Jane Compton
• Cathy Lynn Dalrymple, APRN CNP
• Duncan Regional Hospital Inc (Ryan Family Care)
• Jessica Harrington, APN
• Marc Kagan, PA-C
• Lori Delyne Long
• Medical Center Pharmacy, Inc. (Advanced Care Medical Equipment)
• Robert William Paul, PA
• Proctor Enterprises, Inc (Ryan Medical Supplies)

• Rural Health Clinic/Center in Ryan, OK
• Providers in Ryan, OK by specialty
• Rural Health Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; 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.