Kay County Oklahoma Hospital Company LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

KAY COUNTY OKLAHOMA HOSPITAL COMPANY LLC

Practice address

1900 N 14TH St
Ponca City, OK 74601-2035

Phone

(580) 715-4581

NPI assigned

May 22, 2023

Organization subpart

No

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

Authorized official

Name

Jennifer L Jackson

Title

Senior Director Provider Enrollment

Phone

(615) 465-3334

Specialties & licenses 1

Addresses

Other names 1

• AllianceHealth Ponca City Doing business as

Locations

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1922790666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N 14TH ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746012035",
            "telephone_number": "580-715-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAY COUNTY OKLAHOMA HOSPITAL COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SENIOR DIRECTOR PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "615-465-3334"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AllianceHealth Ponca City",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AllianceHealth Ponca City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kara M. Smith, LLC
• Karen S. Adams M.D.
• Ted Kaspar, DO
• Kay County Clinic Company LLC
• Kay County Oklahoma Hospital Company LLC
• Kay County Oklahoma Hospital Company LLC
• Kay County Oklahoma Hospital Company, LLC
• Kay County Oklahoma Hospital Company, LLC
• Kay County Oklahoma Hospital Company, LLC
• Thomas Francis Keeley, DPH

• Radiology Clinic/Center in Ponca City, OK
• Providers in Ponca City, OK by specialty
• Radiology Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.