NPIMap

Organization Active NPI

Arbuckle Memorial Hospital

  • Critical Access Hospital
  • Sulphur, OK
National Provider Identifier
1700869492
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
2278 Issued in OK
Legal business name
ARBUCKLE MEMORIAL HOSPITAL
Practice address
2011 W Broadway Ave
Sulphur, OK 73086-4221
Phone
(580) 622-2161
Fax
(580) 622-5519
NPI assigned
Nov 28, 2005
Last updated
Oct 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Authorized official

Name
Jeremy Jones
Title
Ceo
Phone
(580) 622-2161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 2278 OK Primary

Addresses

Primary practice location

2011 W Broadway Ave
Sulphur, OK 73086-4221

Mailing address

PO Box 1109
Sulphur, OK 73086-8109
Phone (580) 622-2161

Other identifiers 2

IdentifierTypeStateIssuer
100700790DMedicaidOK
100700790AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20031113000508 OK Part B Supplier - Clinic/Group Practice 0840104956 Receives reassigned benefits from 20 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Davis, OK; Sulphur, OK
O20061104000275 OK Part A Provider - Critical Access Hospital 0840104956 Receives reassigned benefits from 66 practitioners
Practice locations: Sulphur, OK
O20220801003321 OK Part A Provider - Critical Access Hospital 0840104956 Practice locations: Sulphur, OK

NPI to CCN mapping 3

The Medicare certification numbers (CCNs) connected to NPI 1700869492. Details of each certification follow.

Hospital certification: CCN 371328

Legal name
ARBUCKLE MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Nov 4, 2004
Last certification
Aug 27, 2025
Beds
25
Ownership / control type
Local
Organization structure
OtherNon-profit
Enrollment address
2011 W Broadway Ave
Sulphur, OK 73086-4221
Other Hospital Practice Location

Hospital certification: CCN 37Z328

Legal name
ARBUCKLE MEMORIAL HOSPITAL
Organization structure
OtherNon-profit
Enrollment address
2011 W Broadway Ave
Sulphur, OK 73086-4221
Hospital Swing-Bed Unit

Hospital certification: CCN 370095

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ARBUCKLE MEMORIAL HOSPITAL
Certification status
Terminated Other: provider status change, Nov 3, 2004
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Feb 5, 2003
Beds
40
Ownership / control type
Local
Facility address
2011 West Broadway
Sulphur, OK 73086

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

Other NPIs with the same Medicare PAC ID 2

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.

Care Compare: Hospital

Medicare Care Compare
Listed as
Arbuckle Memorial Hospital AuthorityCCN 371328 · All quality measures
Overall star rating
4 of 5
Type
Critical Access Hospitals
Ownership
Government - Local
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 4

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

NameRoleSinceShare
Jeremy Jones Individual Contracted Managing EmployeeCeo Dec 1, 2017
Corporate OfficerCeo Dec 1, 2017
Preferred Management Corporation Organization, Shawnee, OK Corporation, Management services company Operational/Managerial Control Jan 1, 1996
Operational/Managerial Control Jan 1, 2012
Murray County Organization, Sulphur, OK 5% Or Greater Direct Ownership Interest Jan 1, 2012 100%
Denise L Welch Individual Corporate OfficerCfo Jan 1, 2012
W-2 Managing EmployeeCfo Jan 1, 2012
W-2 Managing EmployeeCfo Jan 1, 2021

Facilities with the same owner 35

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

View all 35

Practitioners & affiliated clinicians

Practitioners 82

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 82

Affiliated clinicians 95

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

View all 95

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1700869492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1109",
            "city": "SULPHUR",
            "state": "OK",
            "postal_code": "730868109",
            "telephone_number": "580-622-2161",
            "fax_number": "580-622-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 W BROADWAY AVE",
            "city": "SULPHUR",
            "state": "OK",
            "postal_code": "730864221",
            "telephone_number": "580-622-2161",
            "fax_number": "580-622-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBUCKLE MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-28",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "580-622-2161"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "OK",
            "license": "2278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100700790D",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100700790A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur, OK

Sources for this page

Verify at the official NPI Registry.