Organization Active NPI

Cross Timbers Hospice, Inc

  • Community Based Hospice Care Agency
  • Ardmore, OK
National Provider Identifier
1669475513
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
4056 Issued in OK
Legal business name
CROSS TIMBERS HOSPICE, INC
Practice address
207 C St NW
Ardmore, OK 73401-6216
Phone
(580) 223-0655
Fax
(580) 223-3267
NPI assigned
May 24, 2005
Last updated
Feb 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Authorized official

Name
Mr. Mark A Dodge, C.P.A.
Title
Executive Director
Phone
(580) 223-0655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 4056 OK Primary

Addresses

Primary practice location

207 C St NW
Ardmore, OK 73401-6216

Mailing address

207 C St NW
Ardmore, OK 73401-6216
Phone (580) 223-0655

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060814000101 OK Part A Provider - Hospice 9335142363 Practice locations: Ardmore, OK; Davis, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669475513. Details of each certification follow.

Hospice certification: CCN 371547

Legal name
CROSS TIMBERS HOSPICE INC
Doing business as
CROSS TIMBERS HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 4, 1996
Last certification
Aug 12, 2016
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Jul 20, 1981 in OK
Enrollment address
207 C Street NW
Ardmore, OK 73401-6216

Care Compare: Hospice

Medicare Care Compare
Listed as
Cross Timbers Hospice, IncCCN 371547 · All quality measures
Ownership
Non-Profit
Certified
Apr 4, 1996
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

207 C St NW
Ardmore, OK 73401
Phone (580) 223-0655

610 E Main St
Davis, OK 73030
Phone (580) 369-3500

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Steve Martin Individual Corporate Director Apr 28, 2015
Christopher Kyle Craddock Individual Corporate Director Feb 9, 2023
Linda Roberts Individual Corporate Director Jun 1, 2016
Beth Marshall Individual Corporate Director Apr 23, 2018
Jacob Tynes Individual Corporate Director Dec 5, 2021
Lauren Brooks Southward Individual W-2 Managing Employee Oct 23, 2012
Operational/Managerial Control Oct 23, 2012
Mark Dodge Individual Corporate Director Aug 26, 2010
W-2 Managing Employee Aug 26, 2010
Operational/Managerial Control Aug 26, 2010
Tracie Mordy Individual Corporate Director Jan 1, 2024
Harry Richardson Individual W-2 Managing Employee Aug 26, 2010
Lori a Powell Individual Corporate Director Nov 4, 2021
Trey Rateliff Individual Corporate Director Jan 6, 2020
Nolen Dale Anderson Individual W-2 Managing Employee Jan 10, 2024
Operational/Managerial Control Jan 10, 2024
Joe Ray Hamill Individual W-2 Managing Employee Aug 26, 2004
Operational/Managerial Control Aug 26, 2004
Cross Timbers Hospice Inc Organization, Ardmore, OK Operational/Managerial Control Jan 1, 2011

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 1

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": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771200000000",
    "number": "1669475513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 C ST NW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734016216",
            "telephone_number": "580-223-0655",
            "fax_number": "580-223-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 C ST NW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734016216",
            "telephone_number": "580-223-0655",
            "fax_number": "580-223-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS TIMBERS HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A",
        "authorized_official_last_name": "DODGE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "580-223-0655",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P.A."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OK",
            "license": "4056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

Verify at the official NPI Registry.