Active NPI
Purcell Municipal Hospital
- Family Medicine Physician
- Purcell, OK
National Provider Identifier
1851630404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 27175
- Legal business name
- PURCELL MUNICIPAL HOSPITAL
- Practice address
- 1401 N 4TH Ave
Suite 101
Purcell, OK 73080-1806 - Phone
- (405) 527-9314
- Fax
- (405) 527-9266
- NPI assigned
- Feb 1, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jim T Berry
- Title
- Ceo
- Phone
- (405) 527-2207
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 27175 | OK | Primary |
Addresses
Primary practice location
1401 N 4TH Ave
Suite 101
Purcell, OK 73080-1806
Mailing address
PO Box 511
Purcell, OK 73080-0511
Phone (405) 527-6524
Other names 1
- Family Medicine of Purcell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Purcell Municipal Hospi
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Emergency Medicine Physician
- Purcell, OK
- NPI 1306282348
-
- Emergency Medical Services (Emergency Medicine) Physician
- Purcell, OK
- NPI 1407034226
-
- Rural Acute Care Hospital
- Maysville, OK
- NPI 1972780252
Locations
1401 N 4th Ave
Ste 101
Purcell, OK 73080
Phone (405) 527-2194
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Purcell, OK
- NPI 1366601015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1359676800000",
"number": "1851630404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 511",
"city": "PURCELL",
"state": "OK",
"postal_code": "730800511",
"telephone_number": "405-527-6524",
"fax_number": "405-527-6963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 N 4TH AVE",
"address_2": "SUITE 101",
"city": "PURCELL",
"state": "OK",
"postal_code": "730801806",
"telephone_number": "405-527-9314",
"fax_number": "405-527-9266"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PURCELL MUNICIPAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-01",
"last_updated": "2013-02-01",
"status": "A",
"authorized_official_last_name": "BERRY",
"authorized_official_first_name": "JIM",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "405-527-2207",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "OK",
"license": "27175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Medicine of Purcell",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Purcell, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.