NPIMap

Organization Active NPI

Sayre Memorial Hospital, Inc.

Doing business as Sayre Family Medical Clinic

  • Family Medicine Physician
  • Sayre, OK
National Provider Identifier
1801299607
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2207 Issued in OK
Legal business name
SAYRE MEMORIAL HOSPITAL, INC.
Doing business as
Sayre Family Medical Clinic
Practice address
1002 NE Highway 66
Suite 1
Sayre, OK 73662-9312
Phone
(580) 928-9914
Fax
(580) 928-9913
NPI assigned
Oct 7, 2014
Last updated
Jun 11, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
SAYRE MEMORIAL HOSPITAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

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

Authorized official

Name
Donald E Bates Jr.
Title
Ceo
Phone
(580) 298-5541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 2207 OK Primary

Addresses

Primary practice location

1002 NE Highway 66
Suite 1
Sayre, OK 73662-9312

Mailing address

911 Hospital Dr
Sayre, OK 73662-1206
Phone (580) 928-5541

Other names 1

  • Sayre Family Medical Clinic Doing business as

National Provider Directory

National Provider Directory
Part of
SMH RHC 2 Whinery Huba

Locations

1002 NE Highway 66
Ste 2
Sayre, OK 73662
Phone (580) 928-2208

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1801299607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 HOSPITAL DR",
            "city": "SAYRE",
            "state": "OK",
            "postal_code": "736621206",
            "telephone_number": "580-928-5541",
            "fax_number": "580-928-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 NE HIGHWAY 66",
            "address_2": "SUITE 1",
            "city": "SAYRE",
            "state": "OK",
            "postal_code": "736629312",
            "telephone_number": "580-928-9914",
            "fax_number": "580-928-9913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAYRE MEMORIAL HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAYRE MEMORIAL HOSPITAL, INC.",
        "enumeration_date": "2014-10-07",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "580-298-5541",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "2207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sayre Family Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sayre, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.