Organization Active NPI

Kay County Oklahoma Hospital Company LLC

  • Family Medicine Physician
  • Blackwell, OK
National Provider Identifier
1821526468
Registry record updated May 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
KAY COUNTY OKLAHOMA HOSPITAL COMPANY LLC
Practice address
1005 W Doolin Ave
Blackwell, OK 74631-1350
Phone
(580) 363-3288
Fax
(580) 363-2901
NPI assigned
May 26, 2017
Last updated
May 26, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2017

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

Authorized official

Name
Michael A Swaw
Title
Director
Phone
(615) 778-8076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1005 W Doolin Ave
Blackwell, OK 74631-1350

Mailing address

PO Box 689022
Franklin, TN 37068-9022

National Provider Directory

National Provider Directory

Locations

1005 W Doolin Ave
Blackwell, OK 74631
Phone (580) 363-3288

NPI Registry JSON

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495756800000",
    "number": "1821526468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W DOOLIN AVE",
            "city": "BLACKWELL",
            "state": "OK",
            "postal_code": "746311350",
            "telephone_number": "580-363-3288",
            "fax_number": "580-363-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAY COUNTY OKLAHOMA HOSPITAL COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-26",
        "last_updated": "2017-05-26",
        "status": "A",
        "authorized_official_last_name": "SWAW",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-778-8076"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blackwell, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2017; 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.