NPIMap

Organization Active NPI

Cleveland Area Hospital Holdings, Inc.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Cleveland, OK
National Provider Identifier
1801020565
Registry record updated Sep 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
Legal business name
CLEVELAND AREA HOSPITAL HOLDINGS, INC.
Practice address
1401 West Pawnee
Cleveland, OK 74020
Phone
(918) 358-2501
Fax
(918) 358-9274
NPI assigned
May 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2020

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

Authorized official

Name
Edred Benton
Title
Ceo
Phone
(918) 358-5647

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207PE0004X Primary

Addresses

Primary practice location

1401 West Pawnee
Cleveland, OK 74020

Mailing address

1401 West Pawnee Strett
Cleveland, OK 74020-3033
Phone (918) 358-2501

Other names 1

  • Cleveland Area Hospital Professional Services Doing business as

Electronic endpoints 5

TypeEndpointUseAffiliation
Direct Messaging Address himrefusal4@cahs.cernerdirect.com Direct
Direct Messaging Address CLEVOKCAREAWAREOAUTH@cahs.cernerdirect.com Direct
Direct Messaging Address casemanagement@cahs.cernerdirect.com Direct
Direct Messaging Address cahtczapansky@cahs.cernerdirect.com Direct
Direct Messaging Address cahmbostik@cahs.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090909000326 OK Part B Supplier - Clinic/Group Practice 7810053444 Receives reassigned benefits from 41 practitioners
Practice locations: Cleveland, OK

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 42

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

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601164800000",
    "number": "1801020565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 WEST PAWNEE STRETT",
            "city": "CLEVELAND",
            "state": "OK",
            "postal_code": "740203033",
            "telephone_number": "918-358-2501",
            "fax_number": "918-358-9274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 WEST PAWNEE",
            "city": "CLEVELAND",
            "state": "OK",
            "postal_code": "74020",
            "telephone_number": "918-358-2501",
            "fax_number": "918-358-9274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND AREA HOSPITAL HOLDINGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-11",
        "last_updated": "2020-09-27",
        "certification_date": "2020-09-27",
        "status": "A",
        "authorized_official_last_name": "BENTON",
        "authorized_official_first_name": "EDRED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-358-5647"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "himrefusal4@cahs.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "HIM",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1401 West Pawnee",
            "city": "Cleveland",
            "state": "OK",
            "country_code": "US",
            "postal_code": "74020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CLEVOKCAREAWAREOAUTH@cahs.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Care Aware",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1401 West Pawnee",
            "city": "Cleveland",
            "state": "OK",
            "country_code": "US",
            "postal_code": "74020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "casemanagement@cahs.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Case Management",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1401 West Pawnee",
            "city": "Cleveland",
            "state": "OK",
            "country_code": "US",
            "postal_code": "74020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cahtczapansky@cahs.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Tiffani Czapansky",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1401 West Pawnee",
            "city": "Cleveland",
            "state": "OK",
            "country_code": "US",
            "postal_code": "74020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cahmbostik@cahs.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Melva Bostik",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1401 West Pawnee",
            "city": "Cleveland",
            "state": "OK",
            "country_code": "US",
            "postal_code": "74020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Cleveland Area Hospital Professional Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cleveland Area Hospital Professional Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.