Organization Active NPI

Moore Medical Center, LLC

Doing business as Moore Medical Center

  • General Acute Care Hospital
  • Moore, OK
National Provider Identifier
1942258777
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
2366 Issued in OK
Legal business name
MOORE MEDICAL CENTER, LLC
Doing business as
Moore Medical Center
Practice address
700 S Telephone Rd
Moore, OK 73160-2502
Phone
(405) 793-9355
Fax
(405) 912-3531
NPI assigned
May 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael Schuster
Title
Ceo/President
Phone
(405) 917-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 2366 OK Primary

Addresses

Primary practice location

700 S Telephone Rd
Moore, OK 73160-2502

Mailing address

PO Box 26706
Section 72
Oklahoma City, OK 73126-0706
Phone (405) 793-9355

Other names 1

  • Moore Medical Center Doing business as

Medicare participation

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942258777. Details of each certification follow.

Hospital certification: CCN 370223

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
MOORE MEDICAL CENTER
Certification status
Terminated Voluntary: merger or closure, Mar 1, 2008
Provider type (POS)
Hospital – Short-term
Participating since
Sep 23, 2005
Last certification
Sep 19, 2005
Beds
45
Ownership / control type
State
Facility address
700 South Telephone Road
Moore, OK 73160

National Provider Directory

National Provider Directory
Tax ID family
Moore Med CNTR Clinic Phcy2 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.

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942258777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26706",
            "address_2": "SECTION 72",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731260706",
            "telephone_number": "405-793-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S TELEPHONE RD",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602502",
            "telephone_number": "405-793-9355",
            "fax_number": "405-912-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHUSTER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "405-917-0300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OK",
            "license": "2366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moore Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moore, OK

Sources for this page

Verify at the official NPI Registry.