Active NPI
Cross Timbers Hospice, Inc
- Community Based Hospice Care Agency
- Ardmore, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 4056
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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, Inc
- Ownership
- Non-Profit
- Certified
- Apr 4, 1996
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Steve Martin | Corporate Director | Apr 28, 2015 | |
| Christopher Kyle Craddock | Corporate Director | Feb 9, 2023 | |
| Linda Roberts | Corporate Director | Jun 1, 2016 | |
| Beth Marshall | Corporate Director | Apr 23, 2018 | |
| Jacob Tynes | Corporate Director | Dec 5, 2021 | |
| Lauren Brooks Southward | W-2 Managing Employee | Oct 23, 2012 | |
| Operational/Managerial Control | Oct 23, 2012 | ||
| Mark Dodge | Corporate Director | Aug 26, 2010 | |
| W-2 Managing Employee | Aug 26, 2010 | ||
| Operational/Managerial Control | Aug 26, 2010 | ||
| Tracie Mordy | Corporate Director | Jan 1, 2024 | |
| Harry Richardson | W-2 Managing Employee | Aug 26, 2010 | |
| Lori a Powell | Corporate Director | Nov 4, 2021 | |
| Trey Rateliff | Corporate Director | Jan 6, 2020 | |
| Nolen Dale Anderson | W-2 Managing Employee | Jan 10, 2024 | |
| Operational/Managerial Control | Jan 10, 2024 | ||
| Joe Ray Hamill | W-2 Managing Employee | Aug 26, 2004 | |
| Operational/Managerial Control | Aug 26, 2004 | ||
| Cross Timbers Hospice Inc | 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.
-
- Emergency Medicine Physician
- Ardmore, OK
- NPI 1477515484
Operational/Managerial Control, W-2 Managing Employee
-
- Internal Medicine Physician
- Ardmore, OK
- NPI 1326059734
Operational/Managerial Control, W-2 Managing Employee
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.
-
- Internal Medicine Physician
- Ardmore, OK
- NPI 1326059734
-
- Family Nurse Practitioner
- Ardmore, OK
- NPI 1508456393
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.