NPIMap

Organization Active NPI

Carnegie Tri-County Municipal Hospital Management, Inc.

Doing business as Carnegie Tri-County Municipal Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Carnegie, OK
National Provider Identifier
1861660920
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
2215 Issued in OK
Legal business name
CARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL MANAGEMENT, INC.
Doing business as
Carnegie Tri-County Municipal Hospital
Practice address
102 N. Broadway
Carnegie, OK 73015
Phone
(580) 654-1050
Fax
(580) 654-2111
NPI assigned
Feb 12, 2008
Last updated
Oct 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Authorized official

Name
Mr. Shane Bradley Dunning
Title
Ceo
Phone
(580) 654-1050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 2215 OK Primary

Addresses

Primary practice location

102 N. Broadway
Carnegie, OK 73015

Mailing address

PO Box 97
Carnegie, OK 73015-0097
Phone (580) 654-1050

Other names 1

  • Carnegie Tri-County Municipal Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220806000164 OK Part A Provider - Critical Access Hospital 6800835935 Receives reassigned benefits from 2 practitioners
Practice locations: Carnegie, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861660920. Details of each certification follow.

Hospital certification: CCN 37Z334

Legal name
CARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL MANAGEMENT INC
Organization structure
CorporationNon-profit
Enrollment address
102 N Broadway
Carnegie, OK 73015-0001
Hospital Swing-Bed Unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Thomas Newton Henton Individual Corporate OfficerCeo Aug 1, 2019
Operational/Managerial ControlCeo Aug 1, 2019
Chastity Sink Individual W-2 Managing EmployeeRevenue Cycle Manager Aug 1, 2019
Carnegie Tri County Municipal Hospital Authority Organization, Carnegie, OK Created for acquisition 5% Or Greater Direct Ownership Interest Apr 1, 2005 100%

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Carnegie Tri-County Municipal HospitalCarnegie, OK, CCN 371334 Hospital Operational/Managerial Control Mar 14, 2016
Carnegie Medical ClinicCarnegie, OK, CCN 378542 Rural health clinic Operational/Managerial Control Mar 14, 2016

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 50

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 50

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1861660920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "CARNEGIE",
            "state": "OK",
            "postal_code": "730150097",
            "telephone_number": "580-654-1050",
            "fax_number": "580-654-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N. BROADWAY",
            "city": "CARNEGIE",
            "state": "OK",
            "postal_code": "73015",
            "telephone_number": "580-654-1050",
            "fax_number": "580-654-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "DUNNING",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "580-654-1050",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "OK",
            "license": "2215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carnegie Tri-County Municipal Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carnegie Tri-County Municipal Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carnegie, OK

Sources for this page

Verify at the official NPI Registry.