NPIMap

Organization Active NPI

Coal County General Hospital

Doing business as Eastern Oklahoma Health Clinic of Atoka

  • Family Medicine Physician
  • Atoka, OK
National Provider Identifier
1639877871
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COAL COUNTY GENERAL HOSPITAL
Doing business as
Eastern Oklahoma Health Clinic of Atoka
Practice address
1668 W Liberty Rd
Atoka, OK 74525-1703
Phone
(580) 889-3355
Fax
(580) 889-5272
NPI assigned
Feb 17, 2023
Last updated
Sep 23, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
COAL COUNTY GENERAL HOSPITALAs reported in NPPES

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
Chris Martin
Title
Ceo
Phone
(580) 927-2327

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Clinic/Center 261Q00000X
Health Service Clinic/Center 261QH0100X
Primary Care Clinic/Center 261QP2300X
Rural Health Clinic/Center 261QR1300X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X

Addresses

Primary practice location

1668 W Liberty Rd
Atoka, OK 74525-1703

Mailing address

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

Other names 2

  • Eastern Oklahoma Health Clinic of Atoka Doing business as
  • ABC Medical Clinic of Atoka Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180730001593 OK Part A Provider - Rural Health Clinic 8022901396 2 other NPIs on this enrollment
Practice locations: Atoka, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639877871. Details of each certification follow.

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

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 2

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D0956601Eastern Oklahoma Health Clinic of Atoka1668 W Liberty Rd, Atoka, OK 74525Certificate of waiverJan 31, 2027

National Provider Directory

National Provider Directory
Tax ID family
Mary Hurley Hospital3 organizations share this tax ID, including this one
Part of
Mary Hurley Hospital

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6 N Covington St
Coalgate, OK 74538
Phone (580) 927-2327

7 N Covington St
Coalgate, OK 74538
Phone (580) 927-2000

Ownership & related parties

All disclosed owners & managing parties 4

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 OfficerChief Executive Office May 19, 2025
W-2 Managing EmployeeChief Executive Officer May 19, 2025
Kevin Haney Individual Corporate DirectorDirector Feb 22, 2021
Jerad Gearhart Individual Corporate DirectorDirector Sep 27, 2021
Johnny Sandmann Individual Corporate DirectorDirector Sep 27, 2021

Change-of-ownership history 1

DateEventCounterparty
Jan 1, 2018 Change of OwnershipThis provider was the buyer Abc Medical Clinic, Inc PLLCCCN 373862, OK, NPI 1235309584

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 23

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 23

NPI Registry JSON

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1639877871",
    "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": "1668 W LIBERTY RD",
            "city": "ATOKA",
            "state": "OK",
            "postal_code": "745251703",
            "telephone_number": "580-889-3355",
            "fax_number": "580-889-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAL COUNTY GENERAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COAL COUNTY GENERAL HOSPITAL",
        "enumeration_date": "2023-02-17",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "580-927-2327"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastern Oklahoma Health Clinic of Atoka",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ABC Medical Clinic of Atoka",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Atoka, OK

Sources for this page

Verify at the official NPI Registry.