NPIMap

Organization Active NPI

Reynolds Army Community Hospital

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Lawton, OK
National Provider Identifier
1821318668
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
REYNOLDS ARMY COMMUNITY HOSPITAL
Doing business as
FRONTIER MEDICAL HOME-SILL
Practice address
5404 SW Lee Blvd
Frontier Medical Home-Sill
Lawton, OK 73505-9695
Phone
(580) 558-2800
NPI assigned
Jun 3, 2010
Organization subpart
Yes
Parent organization
REYNOLDS ARMY COMMUNITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 26, 2014

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

Authorized official

Name
Charles Chittum
Title
Ubo Manager
Phone
(580) 558-2793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X Primary

Addresses

Primary practice location

5404 SW Lee Blvd
Frontier Medical Home-Sill
Lawton, OK 73505-9695

Mailing address

3009 NW Wilson Street
Attn McUa-Pad-PF - Billing Office
Fort Sill, OK 73503
Phone (580) 458-2793

Other identifiers 1

IdentifierTypeStateIssuer
1487752960OtherPARENT FACILITY NPI 2

Other names 1

  • FRONTIER MEDICAL HOME-SILL Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Reynolds Army Community Hospital15 organizations share this tax ID, including this one
Part of
Reynolds Army Community Hospital

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": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393372800000",
    "number": "1821318668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 NW WILSON STREET",
            "address_2": "ATTN MCUA-PAD-PF - BILLING OFFICE",
            "city": "FORT SILL",
            "state": "OK",
            "postal_code": "73503",
            "telephone_number": "580-458-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5404 SW LEE BLVD",
            "address_2": "FRONTIER MEDICAL HOME-SILL",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059695",
            "telephone_number": "580-558-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNOLDS ARMY COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REYNOLDS ARMY COMMUNITY HOSPITAL",
        "enumeration_date": "2010-06-03",
        "last_updated": "2014-02-26",
        "status": "A",
        "authorized_official_last_name": "CHITTUM",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "UBO MANAGER",
        "authorized_official_telephone_number": "580-558-2793"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARENT FACILITY NPI 2",
            "identifier": "1487752960",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FRONTIER MEDICAL HOME-SILL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.