NPIMap

Organization Active NPI

Creek Nation Hospital & Clinics

Doing business as Creek Nation Comm Hosp S B

  • Medicare Defined Swing Bed Hospital Unit
  • Okemah, OK
National Provider Identifier
1821269168
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
2307 Issued in OK
Legal business name
CREEK NATION HOSPITAL & CLINICS
Doing business as
Creek Nation Comm Hosp S B
Practice address
309 North 14TH Street
Okemah, OK 74859-2028
Phone
(918) 623-1424
NPI assigned
Mar 14, 2008
Last updated
May 6, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
CREEK NATION HOSPITAL & CLINICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Authorized official

Name
Judy Aaron
Title
Chief Executive Officer
Phone
(918) 756-3334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 2307 OK Primary

Addresses

Primary practice location

309 North 14TH Street
Okemah, OK 74859-2028

Mailing address

FNB Dept 001
PO Box 1312
Okmulgee, OK 74447-1312
Phone (918) 756-4333

Other names 1

  • Creek Nation Comm Hosp S B Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080624000021 OK Part A Provider - Critical Access Hospital 5698786226 Practice locations: Okemah, OK

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1821269168. Details of each certification follow.

Hospital certification: CCN 37Z333

Legal name
CREEK NATION HOSPITAL & CLINICS
Doing business as
CREEK NATION COMMUNITY HOSPITAL
Organization structure
OtherNon-profit
Enrollment address
1800 E Coplin St
Okemah, OK 74859-4642
Hospital Swing-Bed Unit

Hospital certification: CCN 370179

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
CREEK NATION COMMUNITY HOSPITAL
Certification status
Terminated Other: provider status change, Oct 31, 2005
Provider type (POS)
Hospital – Short-term
Participating since
Feb 23, 1978
Last certification
Jan 28, 2004
Beds
30
Ownership / control type
Federal
Facility address
309 North 14TH Street
Okemah, OK 74859

Other NPIs with the same Medicare PAC ID 16

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

View all 16

National Provider Directory

National Provider Directory
Tax ID family
Creek Nation Hospital Clin84 organizations share this tax ID, including this one
Part of
Creek Nation Hospital Clin

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Muscogee Creek Nation Organization, Okmulgee, OK 5% Or Greater Direct Ownership Interest Nov 1, 2007
Tim Hicks Individual Corporate OfficerDeputy Secretary of Health Oct 1, 2024
W-2 Managing EmployeeDeputy Secretary of Health Aug 1, 2017
Brenda Crawford Individual Corporate OfficerChief Financial Officer Aug 21, 2017
W-2 Managing EmployeeCfo Aug 21, 2017
Creek Nation Hospital & Clinics Organization, Okemah, OK Operational/Managerial Control Nov 1, 2007
Shawn W Terry Individual Corporate OfficerSecretary of Health Oct 1, 2024
W-2 Managing EmployeeSecretary of Health Oct 1, 2024
Tracy Randall Individual W-2 Managing Employee Nov 1, 2000

Owners & managing parties with NPI records 16

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 16

Facilities with the same owner 3

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

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1821269168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FNB DEPT 001",
            "address_2": "PO BOX 1312",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744471312",
            "telephone_number": "918-756-4333",
            "fax_number": "918-756-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 NORTH 14TH STREET",
            "city": "OKEMAH",
            "state": "OK",
            "postal_code": "748592028",
            "telephone_number": "918-623-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEK NATION HOSPITAL & CLINICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CREEK NATION HOSPITAL & CLINICS",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "AARON",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "918-756-3334"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "OK",
            "license": "2307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creek Nation Comm Hosp S B",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Okemah, OK

Sources for this page

Verify at the official NPI Registry.