NPIMap

Organization Active NPI

Duncan Regional Hospital, Inc

Doing business as Pavilion Clinic

  • Rural Health Clinic/Center
  • Duncan, OK
National Provider Identifier
1902347651
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
DUNCAN REGIONAL HOSPITAL, INC
Doing business as
Pavilion Clinic
Practice address
1315 Whisenant CT Ste 100-301
Duncan, OK 73533-1649
Phone
(580) 251-6806
Fax
(580) 251-6837
NPI assigned
Mar 14, 2017
Last updated
Apr 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Authorized official

Name
Ken Miller
Title
VP Finance and Cfo
Phone
(580) 251-8554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

1315 Whisenant CT Ste 100-301
Duncan, OK 73533-1649

Mailing address

PO Box 100
Duncan, OK 73534-0100
Phone (580) 251-8554

Other names 1

  • Pavilion Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170405001167 OK Part A Provider - Critical Access Hospital 5193613057 Receives reassigned benefits from 6 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Waurika, OK
O20170517001707 OK Part A Provider - Rural Health Clinic 5193613057 Practice locations: Duncan, OK

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1902347651. Details of each certification follow.

Hospital certification: CCN 371311

Legal name
DUNCAN REGIONAL HOSPITAL, INC
Doing business as
JEFFERSON COUNTY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jul 1, 2000
Last certification
Feb 29, 2024
Beds
25
Ownership / control type
Private (not for profit)
Most recent change of ownership
Feb 1, 2017 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Oct 29, 1976 in OK
Enrollment address
9170 US Highway 70
Waurika, OK 73573-5069
Main/Primary Hospital Location

Rural health clinic certification: CCN 373499

Legal name
DUNCAN REGIONAL HOSPITAL, INC
Doing business as
JEFFERSON COUNTY HOSPITAL D/B/A PAVILION CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 21, 2017
Last certification
May 13, 2021
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Oct 29, 1976 in OK
Enrollment address
1315 N Whisenant Dr
Ste 100, 200, 300 & 301
Duncan, OK 73533-1585
Related CCNs
371311

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

View all 14

Other NPIs with the same Medicare PAC ID 21

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

View all 21

Other NPIs on the same Medicare enrollment 7

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Jefferson County HospitalCCN 371311 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
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
37D2028627Pavilion Clinic - Suite 3001315 N Whisenant Dr, Suite 300, Duncan, OK 73533Certificate of waiverAug 18, 2027
37D2106911Pavilion Clinic - Suite 1001315 N Whisenant Dr, Ste 100, Duncan, OK 73533Certificate of waiverDec 30, 2027
37D2171600Pavilion Clinic - Suite 2001315 N Whisenant Dr, Suite 200, Duncan, OK 73533Certificate of waiverSep 3, 2027
37D2286955Pavilion Clinic - Suite 3011315 N Whisenant Drive, Ste 301, Duncan, OK 73533Certificate of waiverAug 6, 2027

National Provider Directory

National Provider Directory

Locations

2515 N Whisenant Dr
Duncan, OK 73533
Phone (580) 251-6806

2515 N Whisenant Dr
Ste 301
Duncan, OK 73533
Phone (580) 251-6806

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
Kenneth Miller Individual Corporate OfficerCfo May 19, 2025
Sherry McKay Individual W-2 Managing EmployeeManager Sep 30, 2024
Lisa High Individual Corporate DirectorRevenue Cycle Director Sep 14, 2020
Lety Almeida Individual W-2 Managing EmployeeCredentialing Specialist Sep 19, 2019
John Edgar Individual Corporate OfficerPresident Feb 1, 2022
Dawn Hudson Individual Corporate DirectorRevenue Cycle Director Feb 1, 2026

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Duncan Regional Hospital, IncDuncan, OK, CCN 37T023 Hospital Operational/Managerial Control Nov 1, 2007
Duncan Regional Hospital, IncDuncan, OK, CCN 37S023 Hospital Operational/Managerial Control Jul 1, 2009
Duncan Regional Hospital, IncDuncan, OK, CCN 377142 Home health agency 5% Or Greater Direct Ownership Interest Nov 1, 2007
Chisholm Trail HospiceDuncan, OK, CCN 371553 Hospice 5% Or Greater Direct Ownership Interest (100%) Nov 10, 2011

Owned or controlled facilities with NPI records 4

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

Practitioners & affiliated clinicians

Practitioners 8

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.

Affiliated clinicians 61

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

View all 61

NPI Registry JSON

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1902347651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735340100",
            "telephone_number": "580-251-8554",
            "fax_number": "580-251-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 WHISENANT CT STE 100-301",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331649",
            "telephone_number": "580-251-6806",
            "fax_number": "580-251-6837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNCAN REGIONAL HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "VP FINANCE AND CFO",
        "authorized_official_telephone_number": "580-251-8554"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pavilion Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pavilion Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duncan, OK

Sources for this page

Verify at the official NPI Registry.