Russell-Murray Hospice, Inc.
Organization Active NPI Community Based Hospice Care Agency · El Reno, OK
NPI 1629068879 · NPPES record last updated Nov 25, 2024
Key facts
- NPI
- 1629068879
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- License
- 4005 (OK)
- Legal business name
- RUSSELL-MURRAY HOSPICE, INC.
- Practice address
- 2001 Parkview Dr
El Reno, OK 73036-2107 - Phone
- (405) 262-3088
- Fax
- (405) 262-3082
- NPI assigned
- Oct 27, 2005
- Organization subpart
- No
Authorized official
- Name
- Ms. Christina Ketter
- Title
- Administrator
- Phone
- (405) 262-3088
Owners & managing parties with NPI records 1
-
Melodie Duff, APRN
Practitioners 1
-
Melodie Duff, APRN
Affiliated clinicians 14
-
Stephen Arthurs, MD
-
Blake Allen Badgett, M.D.
-
Ronald Cable, DO
-
Melodie Duff, APRN
-
Charles William Ferrell, M.D.
-
J M Huser III, M.D.
-
Rise Lynne Kester, APRN
-
Sarah Kelleen Menz, CNP
-
Mark G Miles, MD
-
Clinton Riley Strong III, M.D.
-
Trey D Thomason, D.O.
Medicare Care Compare: Hospice
- Listed as
- Russell-Murray Hospice, Inc
- Ownership
- Non-Profit
- Certified
- Jun 18, 1990
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Hospice certification: CCN 371510
- Legal name
- RUSSELL-MURRAY HOSPICE, INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jun 18, 1990
- Last certification
- Apr 28, 2021
- Ownership / control type
- Non-Profit - Church
- Organization structure
- Corporation · Non-profit
- Incorporated
- Nov 28, 1988 in OK
- Enrollment address
- 2001 Park View Drive
El Reno, OK 73036-2107
All disclosed owners & managing parties 3
| Name | Role | Since | Share |
|---|---|---|---|
| Melodie D Duff |
Corporate Director | Jan 1, 2013 | |
| W-2 Managing Employee |
Jan 1, 2013 | ||
| Operational/Managerial Control |
Jan 1, 2013 | ||
| Vicki Myers |
Corporate Officer |
Oct 6, 2014 | |
| W-2 Managing Employee |
Oct 6, 2014 | ||
| Operational/Managerial Control |
Oct 6, 2014 | ||
| Christina L Ketter |
Corporate Officer |
Aug 1, 2007 | |
| W-2 Managing Employee |
Aug 1, 2007 | ||
| Operational/Managerial Control |
Aug 1, 2007 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050824000555 | OK | Part a Provider - Hospice | 1456382910 | Practice locations: El Reno, OK; Kingfisher, OK; Oklahoma City, OK; Weatherford, OK |
National Provider Directory
Locations
202 N Main St
Kingfisher, OK 73750
Phone (405) 375-5015
1625 Cypress Dr
Weatherford, OK 73096
Phone (580) 774-2661
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 4005 | OK | Yes |
Addresses
Primary practice location
2001 Parkview Dr
El Reno, OK 73036-2107
Mailing address
2001 Parkview Dr
El Reno, OK 73036-2107
Phone (405) 262-3088
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Other providers in El Reno, OK
- Andrea Louise Root
- Krystal Rose
- Sheila Jacille Rowan
- Ruke Pharmacy Inc.
- Rural Health and Vitality
- Saint Medical Group, LLC
- Saint Medical Group, LLC
- Sabrina Danielle Saltz
- Emily Samuel
- Joseph S Sandberg
All providers in El Reno, OK · Community Based Hospice Care Agency in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.