NPIMap

Organization Active NPI

Memorial Hospital of Texas County Authority

Doing business as Panhandle Pediatrics

  • Medical Specialty Clinic/Center
  • Guymon, OK
National Provider Identifier
1790976538
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
2249 Issued in OK
Legal business name
MEMORIAL HOSPITAL OF TEXAS COUNTY AUTHORITY
Doing business as
Panhandle Pediatrics
Practice address
1753 N Roosevelt St
Guymon, OK 73942-2729
Phone
(580) 338-7792
NPI assigned
Aug 7, 2007
Last updated
Feb 15, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Authorized official

Name
Troy Zinn
Title
Ceo
Phone
(580) 338-3113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 2249 OK Primary

Addresses

Primary practice location

1753 N Roosevelt St
Guymon, OK 73942-2729

Mailing address

520 Medical Dr
Guymon, OK 73942-4438
Phone (580) 338-6515

Other names 1

  • Panhandle Pediatrics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Memorial Hospital of Te15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1790976538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 MEDICAL DR",
            "city": "GUYMON",
            "state": "OK",
            "postal_code": "739424438",
            "telephone_number": "580-338-6515",
            "fax_number": "580-468-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1753 N ROOSEVELT ST",
            "city": "GUYMON",
            "state": "OK",
            "postal_code": "739422729",
            "telephone_number": "580-338-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOSPITAL OF TEXAS COUNTY AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "ZINN",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "580-338-3113"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OK",
            "license": "2249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Panhandle Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Guymon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.