NPIMap

Organization Active NPI

Creek Nation Hospital & Clinics

Doing business as Muscogee (Creek) Nation Medical Center

  • General Acute Care Hospital
  • Okmulgee, OK
National Provider Identifier
1902236573
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
CREEK NATION HOSPITAL & CLINICS
Doing business as
Muscogee (Creek) Nation Medical Center
Practice address
1401 Morris Dr
Okmulgee, OK 74447-6429
Phone
(918) 756-4233
Fax
(918) 756-5968
NPI assigned
Nov 19, 2013
Last updated
Oct 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Authorized official

Name
Shawn Terry
Title
Secretary of Health
Phone
(918) 756-4333

Specialties & licenses 1

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

Addresses

Primary practice location

1401 Morris Dr
Okmulgee, OK 74447-6429

Mailing address

Dept 1038
Tulsa, OK 74182-0001
Phone (918) 756-4333

Other names 1

  • Muscogee (Creek) Nation Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140804000664 OK Part A Provider - Hospital 5698786226 1 other NPI on this enrollment
Practice locations: Okmulgee, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902236573. Details of each certification follow.

Hospital certification: CCN 370057

Legal name
CREEK NATION HOSPITAL & CLINICS
Doing business as
MUSCOGEE (CREEK) NATION MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 9, 2025
Beds
66 (20 certified)
Ownership / control type
Tribal
Most recent change of ownership
Dec 30, 2013 (4 total)
Organization structure
OtherNon-profit
Enrollment address
1401 Morris Drive
Muscogee (Creek) Nation Medical Center
Okmulgee, OK 74447-6429
Other Hospital Practice Location
Hospital subgroups
General, Acute care

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

Other NPIs with the same Medicare PAC ID 16

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

View all 16

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
Muscogee (Creek) Nation Medical CenterCCN 370057 · All quality measures
Type
Acute Care Hospitals
Ownership
Tribal
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Creek Nation Hospital Clinics84 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 20

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 20

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Rhonda K Beaver Individual Corporate OfficerDirector of Health Policy & Adminis Jan 1, 2022
Muscogee Creek Nation Organization, Okmulgee, OK 5% Or Greater Direct Ownership Interest Dec 30, 2013 100%
Lawrence E Vark Individual Corporate OfficerChief Medical Officer Jan 1, 2022
W-2 Managing EmployeeChief Medical Officer Dec 30, 2013 100%
Michelle Hawkins Individual W-2 Managing Employee Oct 31, 2022
Tracy Randall Individual W-2 Managing Employee Oct 31, 2022

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Creek Nation Community HospitalOkemah, OK, CCN 37Z333 Hospital Operational/Managerial Control Nov 1, 2007

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

Affiliated clinicians 143

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

View all 143

NPI Registry JSON

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1902236573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 1038",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741820001",
            "telephone_number": "918-756-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MORRIS DR",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744476429",
            "telephone_number": "918-756-4233",
            "fax_number": "918-756-5968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEK NATION HOSPITAL & CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-19",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "SECRETARY OF HEALTH",
        "authorized_official_telephone_number": "918-756-4333"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Muscogee (Creek) Nation Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Muscogee (Creek) Nation Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Okmulgee, OK

Sources for this page

Verify at the official NPI Registry.