Jack C. Montgomery VA Medical Center

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

JACK C. MONTGOMERY VA MEDICAL CENTER

Practice address

1011 Honor Heights Dr
Muskogee, OK 74401-1318

Phone

(918) 577-3551

NPI assigned

Jun 23, 2025

Last updated

Jun 23, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Devin Taylor Trevino, RN

Title

Registered Nurse

Phone

(918) 616-6667

Specialties & licenses 1

Addresses

Tax ID family

Eovacs2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Eovacs

  • Nursing Care Agency
  • Muskogee, OK
  • NPI 1437046398
  NPD tax ID

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "number": "1891682753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 HONOR HEIGHTS DR",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744011318",
            "telephone_number": "918-577-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 HONOR HEIGHTS DR",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744011318",
            "telephone_number": "918-577-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK C. MONTGOMERY VA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A",
        "authorized_official_last_name": "TREVINO",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "918-616-6667",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Leigh Isbell, BSN RN
• J David Wayman MD PLLC
• J S Rutherford MD PC
• J'Dene Michelle Rogers (Integrity Pathways)
• Jack C. Montgomery VA Medical Center
• Jack E Weaver, MD PC
• Jackie Fields Foundation
• Margo Jackson-Lockyer, MD
• Lisa Jackson, PRSS
• Nancy Lee Jackson, R.N.

• Nursing Care Agency in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Nursing Care Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.