NPIMap

Organization Active NPI

Purcell Municipal Hospital

  • General Acute Care Hospital
  • Purcell, OK
National Provider Identifier
1851669865
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
2280 Issued in OK
Legal business name
PURCELL MUNICIPAL HOSPITAL
Practice address
1500 N Green Ave
Purcell, OK 73080-1642
Phone
(405) 527-6524
Fax
(405) 527-1155
NPI assigned
Dec 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Authorized official

Name
Mr. James T Berry
Title
Chairman
Phone
(405) 527-6524

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 2280 OK Primary

Addresses

Primary practice location

1500 N Green Ave
Purcell, OK 73080-1642

Mailing address

PO Box 511
Purcell, OK 73080-0511
Phone (405) 527-6524

Other names 1

  • Purcell Nuclear Medicine, LLC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080516000414 OK Part A Provider - Hospital 7719899400 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Purcell, OK

Hospital certification: CCN 370158

Legal name
PURCELL MUNICIPAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Oct 1, 1970
Last certification
Jun 28, 2019
Beds
39
Ownership / control type
Local
Organization structure
OtherNon-profit
Enrollment address
2301 N 9TH Ave
Purcell, OK 73080-1741
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Purcell Municipal HospitalCCN 370158
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

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
Dianna Michelle Farris Individual W-2 Managing EmployeeHim Manager/Med Staff Coordinator Dec 2, 2022
Purcell Public Works Authority Organization, Purcell, OK 5% Or Greater Direct Ownership Interest Oct 19, 2007
Chris Wright Individual Corporate OfficerCeo Jul 18, 2021
Mary Morris Individual W-2 Managing EmployeeStaff Accountant Dec 2, 2022
SSM Health Care of Oklahoma, Inc. Organization, Oklahoma City, OK Corporation Operational/Managerial Control Jul 1, 2021
Michelle Renee Barber Individual W-2 Managing EmployeeManger of Operations and Finance Dec 2, 2022

Owners & managing parties with NPI records 5

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

Practitioners & affiliated clinicians

Affiliated clinicians 133

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 133

NPI Registry JSON

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327276800000",
    "number": "1851669865",
    "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": "1500 N GREEN AVE",
            "city": "PURCELL",
            "state": "OK",
            "postal_code": "730801642",
            "telephone_number": "405-527-6524",
            "fax_number": "405-527-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURCELL MUNICIPAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2012-01-23",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "405-527-6524",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OK",
            "license": "2280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Purcell Nuclear Medicine, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Purcell, OK

Sources for this page

Verify at the official NPI Registry.