NPIMap

Organization Active NPI

McAlester Regional Health Center MRHC Clinics

  • Surgery Physician
  • McAlester, OK
National Provider Identifier
1841608916
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
MCALESTER REGIONAL HEALTH CENTER MRHC CLINICS
Practice address
2 E Clark Bass Blvd
Suite 301
McAlester, OK 74501-4282
Phone
(918) 421-6846
Fax
(918) 421-6875
NPI assigned
Aug 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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

Authorized official

Name
David Keith
Title
Ceo
Phone
(918) 426-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

2 E Clark Bass Blvd
Suite 301
McAlester, OK 74501-4282

Mailing address

1 E Clark Bass Blvd
McAlester, OK 74501-4209
Phone (918) 426-1800

Other identifiers 1

IdentifierTypeStateIssuer
200456750CMedicaidOK

Other names 1

  • Southeast Surgical Associates Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1841608916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E CLARK BASS BLVD",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745014209",
            "telephone_number": "918-426-1800",
            "fax_number": "918-421-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 E CLARK BASS BLVD",
            "address_2": "SUITE 301",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745014282",
            "telephone_number": "918-421-6846",
            "fax_number": "918-421-6875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCALESTER REGIONAL HEALTH CENTER MRHC CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-01",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "KEITH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-426-1800"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200456750C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeast Surgical Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in McAlester, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.