NPIMap

Organization Active NPI

Choctaw County City of Hugo Hospital Authority

Doing business as Choctaw Memorial Hospital

  • Rural Acute Care Hospital
  • Hugo, OK
National Provider Identifier
1881689289
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
2191 Issued in OK
Legal business name
CHOCTAW COUNTY CITY OF HUGO HOSPITAL AUTHORITY
Doing business as
Choctaw Memorial Hospital
Practice address
1405 E Kirk St
Hugo, OK 74743-3603
Phone
(580) 317-9500
Fax
(580) 326-3541
NPI assigned
Sep 13, 2005
Last updated
Jan 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Authorized official

Name
Mr. Nick Rowland
Title
Ceo
Phone
(580) 317-9500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 2191 OK
Rural Acute Care Hospital 282NR1301X 2191 OK Primary

Addresses

Primary practice location

1405 E Kirk St
Hugo, OK 74743-3603

Mailing address

1405 E. Kirk St.
Hugo, OK 74743-3603
Phone (580) 317-9500

Other identifiers 3

IdentifierTypeStateIssuer
100700720AMedicaidOK
000370100001OtherOKBCBS OF OK
DD0940OtherOKMEDICARE RAILROAD UPIN

Other names 1

  • Choctaw Memorial Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20031111000136 OK Part B Supplier - Clinic/Group Practice 8022921519 Receives reassigned benefits from 36 practitioners
Practice locations: Hugo, OK
O20040318000382 OK Part A Provider - Hospital 8022921519 Practice locations: Hugo, OK
O20161207000223 OK Part A Provider - Hospital 8022921519 Practice locations: Hugo, OK

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1881689289. Details of each certification follow.

Hospital certification: CCN 370100

Legal name
CHOCTAW COUNTY CITY OF HUGO HOSPITAL AUTHORITY
Doing business as
CHOCTAW MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Apr 1, 1979
Last certification
Sep 17, 2025
Beds
34
Ownership / control type
Other
Organization structure
OtherNon-profit
Enrollment address
1405 E Kirk St
Choctaw Memorial Hospital
Hugo, OK 74743-3603
Other Hospital Practice Location
Hospital subgroups
General, Acute care

Hospital certification: CCN 37U100

Legal name
CHOCTAW COUNTY CITY OF HUGO HOSPITAL AUTHORITY
Doing business as
CHOCTAW MEMORIAL HOSPITAL
Organization structure
OtherNon-profit
Incorporated
May 18, 1979 in OK
Enrollment address
1405 E Kirk St
Hugo, OK 74743-3603
Hospital Swing-Bed Unit
Hospital subgroups
General, Acute care, Swing-bed approved

Care Compare: Hospital

Medicare Care Compare
Listed as
Choctaw Memorial HospitalCCN 370100 · All quality measures
Overall star rating
1 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D0475664Choctaw Memorial Hospital1405 E Kirk, Hugo, OK 74743ComplianceMay 10, 2027

National Provider Directory

National Provider Directory

Locations

1405 E Kirk St
Hugo, OK 74743
Phone (580) 317-9500

1405 E Kirk St
Ste A
Hugo, OK 74743
Phone (580) 317-9500

1405 E Kirk St
Ste B
Hugo, OK 74743
Phone (580) 326-6111

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Judy Strickland Individual Corporate DirectorMember of the Board of Trustees Apr 29, 1999 14.29%
David Dyer Individual Corporate DirectorMember of the Board of Trustees Mar 25, 2026 14.29%
Stormy Tollison Individual W-2 Managing EmployeeController Apr 27, 2016
Nicholas P Rowland Individual Corporate OfficerCeo Apr 26, 2018
W-2 Managing EmployeeCeo Apr 26, 2018
Cheryl D Galyon Individual Corporate DirectorMember of the Board of Trustees Apr 18, 2019 14.29%
Ronald Kelso Individual Corporate DirectorMember of the Board of Trustees Jun 2, 2025 14.29%
Charles Elswick Individual Corporate DirectorMember of the Board of Trustees Oct 6, 2020 14.29%
Tommy Butler Individual Corporate DirectorMember of the Board of Trustees Jan 29, 2008 14.29%
Choctaw County City of Hugo Hospital Authority Organization, Hugo, OK Operational/Managerial Control Apr 28, 2011 100%
Operational/Managerial Control May 18, 1979 100%
Randy L Springfield Individual Corporate DirectorBoard Member Feb 27, 2019 14.29%
Corporate DirectorMember of the Board of Trustees Feb 27, 2019 14.29%
Dawn Ballard Individual Corporate OfficerCfo Apr 27, 2016
W-2 Managing Employee Apr 27, 2016
Corporate OfficerCfo Apr 24, 2016
W-2 Managing EmployeeCfo Apr 27, 2016

Practitioners & affiliated clinicians

Practitioners 41

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 41

Affiliated clinicians 43

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

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643328000000",
    "number": "1881689289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 E. KIRK ST.",
            "city": "HUGO",
            "state": "OK",
            "postal_code": "747433603",
            "telephone_number": "580-317-9500",
            "fax_number": "580-326-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 E KIRK ST",
            "city": "HUGO",
            "state": "OK",
            "postal_code": "747433603",
            "telephone_number": "580-317-9500",
            "fax_number": "580-326-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOCTAW COUNTY CITY OF HUGO HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A",
        "authorized_official_last_name": "ROWLAND",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "580-317-9500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OK",
            "license": "2191",
            "primary": false
        },
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "OK",
            "license": "2191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100700720A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF OK",
            "identifier": "000370100001",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD UPIN",
            "identifier": "DD0940",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Choctaw Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Choctaw Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hugo, OK

Sources for this page

Verify at the official NPI Registry.