NPIMap

Organization Active NPI

Kay County Oklahoma Hospital Company LLC

  • Rural Health Clinic/Center
  • Ponca City, OK
National Provider Identifier
1932634573
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
2273 Issued in OK
Legal business name
KAY COUNTY OKLAHOMA HOSPITAL COMPANY LLC
Doing business as
Alliancehealth Clinic Ponca City
Practice address
1908 N 14TH St Ste 203
Ponca City, OK 74601-2039
Phone
(580) 718-4501
Fax
(580) 718-4581
NPI assigned
Apr 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Authorized official

Name
Paula Lalor
Title
Director/Delegated Official
Phone
(629) 215-3953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 2273 OK Primary

Addresses

Primary practice location

1908 N 14TH St Ste 203
Ponca City, OK 74601-2039

Mailing address

1908 N 14TH St Ste 203
Ponca City, OK 74601-2039
Phone (580) 718-4501

Other names 1

  • Alliancehealth Clinic Ponca City Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

1908 N 14th St
Ste 203
Ponca City, OK 74601
Phone (580) 718-2951

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Nov 1, 2023 Change of OwnershipThis provider was the seller Integris Health Medical GroupCCN 378510, OK, NPI 1528830163

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1932634573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 N 14TH ST STE 203",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746012039",
            "telephone_number": "580-718-4501",
            "fax_number": "580-718-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 N 14TH ST STE 203",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746012039",
            "telephone_number": "580-718-4501",
            "fax_number": "580-718-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAY COUNTY OKLAHOMA HOSPITAL COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-20",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "DIRECTOR/DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "629-215-3953"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "OK",
            "license": "2273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alliancehealth Clinic Ponca City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ponca City, OK

Sources for this page

Verify at the official NPI Registry.