W W Hastings Indian Hospital

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

W W HASTINGS INDIAN HOSPITAL

Practice address

100 S Bliss Ave
Tahlequah, OK 74464-2512

Phone

(918) 458-3100

Fax

(918) 458-3628

NPI assigned

May 20, 2008

Organization subpart

Yes

Parent organization

W W HASTINGS INDIAN HOSPITALAs reported in NPPES

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

Authorized official

Name

Mr. Edwin L McLemore

Title

Chief Executive Officer

Phone

(918) 458-3100

Specialties & licenses 1

Addresses

Part of

WW Hastings Indian Hospita

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1629235452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 676967",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752676967",
            "telephone_number": "918-458-3100",
            "fax_number": "918-458-3628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S BLISS AVE",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744642512",
            "telephone_number": "918-458-3100",
            "fax_number": "918-458-3628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W W HASTINGS INDIAN HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "W W HASTINGS INDIAN HOSPITAL",
        "enumeration_date": "2008-05-20",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "MCLEMORE",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "918-458-3100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Taylor Vazquez, NP
• Marti S. Velez, PSY.D.
• Anna Evthokia Venizelos
• Vitalcaring Group Home Health - Tahlequah, LLC
• Brandi Voyles
• Alisha Waggoner
• Larissa Waits, PARAPROFESSIONAL
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0010)
• Walgreen Co (Cox Drug, A Walgreens Pharmacy #15059)
• Walgreen Co (Walgreens #10785)

• Ambulatory Surgical Clinic/Center in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• Ambulatory Surgical Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.