NPIMap

Organization Active NPI

Coal County General Hospital

Doing business as Mary Hurley Hospital

  • Critical Access Hospital
  • Coalgate, OK
National Provider Identifier
1629077227
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
2201 Issued in OK
Legal business name
COAL COUNTY GENERAL HOSPITAL
Doing business as
Coal County General Hospital
Practice address
6 N Covington St
Coalgate, OK 74538-2002
Phone
(580) 927-2327
Fax
(580) 927-2439
NPI assigned
Jul 18, 2005
Last updated
Sep 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Authorized official

Name
Trent Bourland
Title
Ceo
Phone
(580) 927-2327

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Critical Access Hospital Clinic/Center 261QC0050X
Emergency Care Clinic/Center 261QE0002X
Critical Access Hospital 282NC0060X 2201 OK Primary
Critical Care Medicine Nurse Practitioner 363LC0200X
Emergency Registered Nurse 163WE0003X
Emergency Medicine Physician 207P00000X
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X
Body Imaging Physician 2085B0100X
Hospitalist Physician 208M00000X
Critical Care Certified Respiratory Therapist 2278C0205X
Emergency Care Certified Respiratory Therapist 2278E0002X
Registered Respiratory Therapist 227900000X
Diagnostic Neuroimaging (Radiology) Physician 2085D0003X

Addresses

Primary practice location

6 N Covington St
Coalgate, OK 74538-2002

Mailing address

PO Box 326
Coalgate, OK 74538-0326
Phone (580) 927-2327

Other identifiers 1

IdentifierTypeStateIssuer
1007746500MedicaidOK

Other names 2

  • Coal County General Hospital Doing business as
  • Mary Hurley Hospital Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20061104000357 OK Part A Provider - Critical Access Hospital 8022901396 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Coalgate, OK
O20180730001593 OK Part A Provider - Rural Health Clinic 8022901396 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Atoka, OK
O20180731001666 OK Part A Provider - Rural Health Clinic 8022901396 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: McAlester, OK
O20180921000278 OK Part A Provider - Rural Health Clinic 8022901396 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Coalgate, OK

NPI to CCN mapping 4

The Medicare certification numbers (CCNs) connected to NPI 1629077227. Details of each certification follow.

Hospital certification: CCN 371319

Legal name
COAL COUNTY GENERAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jul 1, 2002
Last certification
Mar 21, 2025
Beds
20
Ownership / control type
Private (not for profit)
Most recent change of ownership
Aug 1, 2004 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Jul 2, 1984 in OK
Enrollment address
6 N Covington St
Coalgate, OK 74538-2002
Other Hospital Practice Location

Rural health clinic certification: CCN 378514

Legal name
COAL COUNTY GENERAL HOSPITAL
Doing business as
EASTERN OKLAHOMA HEALTH CLINIC OF ATOKA
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jan 1, 2018
Last certification
Jun 18, 2024
Ownership / control type
2A
Organization structure
CorporationNon-profit
Incorporated
Aug 1, 2004 in OK
Enrollment address
1668 W Liberty Rd
Atoka, OK 74525-1703
Related CCNs
371319

Rural health clinic certification: CCN 378513

Legal name
COAL COUNTY GENERAL HOSPITAL
Doing business as
EASTERN OKLAHOMA HEALTH CLINIC OF MCALESTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jan 1, 2018
Last certification
May 8, 2023
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Aug 1, 2004 in OK
Enrollment address
1308 E Carl Albert Pkwy
Ste a
McAlester, OK 74501-5236
Related CCNs
371319

Rural health clinic certification: CCN 378517

Legal name
COAL COUNTY GENERAL HOSPITAL
Doing business as
HELTON RURAL HEALTH CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jan 1, 2018
Last certification
Jun 18, 2024
Ownership / control type
2A
Organization structure
CorporationNon-profit
Incorporated
Aug 1, 2004 in OK
Enrollment address
108 W Ohio Ave
Coalgate, OK 74538-2827
Related CCNs
371319

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Coal County General Hospital, Inc.CCN 371319 · All quality measures
Overall star rating
4 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

1668 W Liberty Rd
Atoka, OK 74525
Phone (580) 326-6423

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Chris Martin Individual Corporate OfficerCeo May 19, 2025
W-2 Managing EmployeeCeo May 19, 2025
Corporate OfficerChief Executive Office May 19, 2025
W-2 Managing EmployeeChief Executive Officer May 19, 2025
Corporate Officer May 19, 2025
Corporate OfficerChief Executive Officer May 19, 2025
Coal County General Hospital Holding Company Organization, Coalgate, OK Created for acquisition, Corporation, Holding company, Non-profit 5% Or Greater Indirect Ownership Interest Aug 3, 2006 100%
Charles Canida Individual Corporate Director May 1, 2013
Kevin Haney Individual Corporate DirectorBoard Member Feb 22, 2021
Corporate DirectorDirector Feb 22, 2021
Jerad Gearhart Individual Corporate DirectorBoard Member Sep 27, 2021
Corporate DirectorDirector Sep 27, 2021
Johnny Sandmann Individual Corporate DirectorBoard Member Sep 27, 2021
Corporate DirectorDirector Sep 27, 2021

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

Affiliated clinicians 12

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1629077227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 326",
            "city": "COALGATE",
            "state": "OK",
            "postal_code": "745380326",
            "telephone_number": "580-927-2327",
            "fax_number": "580-927-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 N COVINGTON ST",
            "city": "COALGATE",
            "state": "OK",
            "postal_code": "745382002",
            "telephone_number": "580-927-2327",
            "fax_number": "580-927-2439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAL COUNTY GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "BOURLAND",
        "authorized_official_first_name": "TRENT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "580-927-2327"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Critical Access Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "OK",
            "license": "2201",
            "primary": true
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2278C0205X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Critical Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2278E0002X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Emergency Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007746500",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coal County General Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mary Hurley Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mary Hurley Hospital",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Coalgate, OK

Sources for this page

Verify at the official NPI Registry.