NPIMap

Organization Active NPI

Craig County Hospital Authority

Doing business as Grand Lake Medical Park - Langley

  • Rural Acute Care Hospital
  • Vinita, OK
National Provider Identifier
1811931777
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
2182 Issued in OK
Legal business name
CRAIG COUNTY HOSPITAL AUTHORITY
Doing business as
Grand Lake Medical Park - Langley
Practice address
36488 S Highway 82
Vinita, OK 74301-7438
Phone
(918) 782-1881
Fax
(918) 782-4266
NPI assigned
Jun 15, 2006
Last updated
Mar 3, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
CRAIG COUNTY HOSPITAL AUTHORITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

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

Authorized official

Name
Mr. Herbert F. Crum Jr.
Title
Ceo
Phone
(918) 256-7551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X 2182 OK Primary

Addresses

Primary practice location

36488 S Highway 82
Vinita, OK 74301-7438

Mailing address

PO Box 326
Vinita, OK 74301
Phone (918) 782-1881

Other identifiers 1

IdentifierTypeStateIssuer
100261400LMedicaidOK

Other names 1

  • GRAND LAKE MEDICAL PARK - LANGLEY Doing business as

National Provider Directory

National Provider Directory
Part of
Craig County Hospital Authority

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1811931777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 326",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "74301",
            "telephone_number": "918-782-1881",
            "fax_number": "918-782-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36488 S HIGHWAY 82",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743017438",
            "telephone_number": "918-782-1881",
            "fax_number": "918-782-4266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG COUNTY HOSPITAL AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CRAIG COUNTY HOSPITAL AUTHORITY",
        "enumeration_date": "2006-06-15",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "CRUM",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-256-7551",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "OK",
            "license": "2182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100261400L",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRAND LAKE MEDICAL PARK - LANGLEY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vinita, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.