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Duncan Regional Hospital Inc

Organization Active NPI Rural Health Clinic/Center · Ryan, OK

NPI 1699211474 · NPPES record last updated Jan 17, 2017

Key facts

NPI
1699211474
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
DUNCAN REGIONAL HOSPITAL INC
Practice address
1104 6TH St
Ryan, OK 73565-9549
Phone
(580) 757-2451
NPI assigned
Jan 17, 2017
Organization subpart
No

Authorized official

Name
Douglas Richard Volinski
Title
Cfo
Phone
(580) 251-8554

Owned or controlled facilities with NPI records 4

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

Other NPIs on the same Medicare enrollment 7

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

Other NPIs with the same Medicare PAC ID 21

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

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

Practitioners 70

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 70

Affiliated clinicians 61

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

View all 61

Medicare Care Compare: Hospital

Listed as
Jefferson County Hospital CCN 371311
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D0860152Ryan Family Care
1104 6TH Street, Ryan, OK 73565		Certificate of waiverSep 6, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in OK

Hospital certification: CCN 371311

Legal name
DUNCAN REGIONAL HOSPITAL, INC
Doing business as
JEFFERSON COUNTY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jul 1, 2000
Last certification
Feb 29, 2024
Beds
25
Ownership / control type
Private (not for profit)
Most recent change of ownership
Feb 1, 2017 (1 total)
Organization structure
Corporation · Non-profit
Incorporated
Oct 29, 1976 in OK
Enrollment address
9170 US Highway 70
Waurika, OK 73573-5069
Main/Primary Hospital Location

Rural health clinic certification: CCN 373979

Legal name
DUNCAN REGIONAL HOSPITAL, INC
Doing business as
JEFFERSON COUNTY HOSPITAL D/B/A RYAN FAMILY CARE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 11, 1992
Last certification
Apr 29, 2025
Ownership / control type
2B
Most recent change of ownership
Feb 1, 2017 (1 total)
Organization structure
Corporation · Non-profit
Incorporated
Oct 29, 1976 in OK
Enrollment address
1104 6TH St
Ryan, OK 73565-9549
Related CCNs
371311

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Kenneth Miller
Individual 		Corporate Officer
Cfo		 May 19, 2025
Sherry McKay
Individual 		W-2 Managing Employee
Manager		 Sep 30, 2024
Lisa High
Individual 		Corporate Director
Revenue Cycle Director		 Sep 14, 2020
Lety Almeida
Individual 		W-2 Managing Employee
Credentialing Specialist		 Sep 19, 2019
John Edgar
Individual 		Corporate Officer
President		 Feb 1, 2022

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Duncan Regional Hospital, Inc
Duncan, OK · CCN 37T023		 Hospital Operational/Managerial Control Nov 1, 2007
Duncan Regional Hospital, Inc
Duncan, OK · CCN 37S023		 Hospital Operational/Managerial Control Jul 1, 2009
Duncan Regional Hospital, Inc
Duncan, OK · CCN 377142		 Home health agency 5% Or Greater Direct Ownership Interest Nov 1, 2007
Chisholm Trail Hospice
Duncan, OK · CCN 371553		 Hospice 5% Or Greater Direct Ownership Interest (100%) Nov 10, 2011

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20170405001167 OK Part a Provider - Critical Access Hospital 5193613057 Receives reassigned benefits from 6 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Waurika, OK
O20170523001153 OK Part a Provider - Rural Health Clinic 5193613057 Practice locations: Ryan, OK

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Yes

Addresses

Primary practice location

1104 6TH St
Ryan, OK 73565-9549

Mailing address

PO Box 157
Ryan, OK 73565-0157
Phone (580) 757-2451

Other names

  • Ryan Family Care Doing business as

Other providers in Ryan, OK

All providers in Ryan, OK · Rural Health Clinic/Center in Oklahoma

Sources for this page

Verify at the official NPI Registry.