NPIMap

Organization Active NPI

Alva Hospital Authority

Doing business as Share Medical Center

  • Critical Access Hospital
  • Alva, OK
National Provider Identifier
1679684682
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
ALVA HOSPITAL AUTHORITY
Doing business as
Share Medical Center
Practice address
800 Share Dr
Alva, OK 73717-3618
Phone
(580) 327-2800
Fax
(580) 430-3332
NPI assigned
Aug 31, 2006
Reactivated
Feb 28, 2020
Last updated
Mar 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Authorized official

Name
Kandice Allen
Title
Ceo
Phone
(580) 430-3309

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X NU
Critical Access Hospital 282NC0060X NU Primary
Rural Acute Care Hospital 282NR1301X 2251 OK

Addresses

Primary practice location

800 Share Dr
Alva, OK 73717-3618

Mailing address

800 Share Dr
Alva, OK 73717-3613
Phone (580) 327-2800

Other identifiers 8

IdentifierTypeStateIssuer
100699830AMedicaidOK
000370080001OtherBLUE CROSS
015225105MedicaidMO
100099810AMedicaidKS
100699830KMedicaidOK
37-Z341MedicaidOK
37-1341MedicaidOK
100699830FMedicaidOK

Other names 1

  • Share Medical Center Doing business as

Medicare participation

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

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20040514000014 OK Part B Supplier - Clinic/Group Practice 5597755306 Receives reassigned benefits from 26 practitioners
5 other NPIs on this enrollment
Practice locations: Alva, OK
O20180104001765 OK Part A Provider - Critical Access Hospital 5597755306 Receives reassigned benefits from 3 practitioners
Practice locations: Alva, OK
O20180810002569 OK Part A Provider - Critical Access Hospital 5597755306 Receives reassigned benefits from 1 practitioner
Practice locations: Alva, OK
O20190731003497 OK Part A Provider - Rural Health Clinic 5597755306 Practice locations: Alva, OK

NPI to CCN mapping 3

The Medicare certification numbers (CCNs) connected to NPI 1679684682. Details of each certification follow.

Hospital certification: CCN 371341

Legal name
ALVA HOSPITAL AUTHORITY
Doing business as
SHARE MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jul 13, 2018
Last certification
Apr 24, 2024
Beds
25
Ownership / control type
Hospital district or authority
Organization structure
OtherNon-profit
Incorporated
Aug 11, 1983
Enrollment address
800 Share Dr
Alva, OK 73717-3618
Main/Primary Hospital Location

Hospital certification: CCN 37Z341

Legal name
ALVA HOSPITAL AUTHORITY
Doing business as
SHARE MEDICAL CENTER
Organization structure
OtherNon-profit
Incorporated
Aug 11, 1983 in OK
Enrollment address
800 Share Dr
Alva, OK 73717-3618
Hospital Swing-Bed Unit

Rural health clinic certification: CCN 378543

Legal name
ALVA HOSPITAL AUTHORITY
Doing business as
SHARE MEDICAL CENTER - WEST END CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Nov 9, 2020
Last certification
Nov 9, 2020
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Incorporated
Oct 1, 1968 in OK
Enrollment address
800 Share Dr
Alva, OK 73717-3618
Related CCNs
371341

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

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 5

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Share Medical CenterCCN 371341 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

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
Kelly Parker Individual Corporate OfficerCfo May 17, 2024
W-2 Managing EmployeeCfo May 17, 2024
Kandice K Allen Individual Corporate OfficerCeo Jul 1, 2011 100%
W-2 Managing EmployeeCeo Jul 18, 2013 100%
W-2 Managing EmployeeCeo Jul 18, 2013
Corporate OfficerCeo Jul 1, 2011
W-2 Managing EmployeeCeo Jul 1, 2011 100%
City of Alva Organization, Alva, OK Operational/Managerial Control Jun 21, 1966
Derek Hannaford Individual Corporate OfficerVice Chairman Jul 1, 2023
Corporate DirectorVice Chairman Jul 1, 2023
Corporate DirectorBoard Member Apr 1, 2015
Angelica Brady Individual Corporate OfficerCfo Jun 6, 2020
W-2 Managing EmployeeCfo Jun 6, 2022
Jason Gaisford Individual Corporate DirectorChairman Jun 15, 2004
Corporate DirectorChairman Oct 1, 2005
Chris Lauderdale Individual Corporate OfficerController Aug 3, 2020
W-2 Managing EmployeeController Aug 3, 2020
Kenneth Brown Individual Corporate Director Jul 1, 2015
Halah R Simon Individual Corporate DirectorBoard Member Jun 1, 2013
Kevin M Obrien Individual W-2 Managing EmployeeCfo Mar 2, 2014
Kimberly Baugh Individual Corporate DirectorBoard Member May 1, 2019
Alva Hospital Authority Organization, Alva, OK Operational/Managerial Control Oct 1, 1968 100%
Jay Randels Individual Corporate DirectorBoard Member Jul 1, 2018
Philip M Self Individual Corporate DirectorBoard Member Feb 1, 2019

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Code Quick LLCAlva, OK, CCN 378557 Rural health clinic Operational/Managerial Control (100%) Oct 1, 1968

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

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

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 33

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 33

Affiliated clinicians 50

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

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1679684682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SHARE DR",
            "city": "ALVA",
            "state": "OK",
            "postal_code": "737173613",
            "telephone_number": "580-327-2800",
            "fax_number": "580-430-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SHARE DR",
            "city": "ALVA",
            "state": "OK",
            "postal_code": "737173618",
            "telephone_number": "580-327-2800",
            "fax_number": "580-430-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALVA HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "deactivation_date": "2020-02-25",
        "reactivation_date": "2020-02-28",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "KANDICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "580-430-3309"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "OK",
            "license": "2251",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100699830A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000370080001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015225105",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100099810A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100699830K",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37-Z341",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37-1341",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100699830F",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Share Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Share Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alva, OK

Sources for this page

Verify at the official NPI Registry.