NPIMap

Organization Active NPI

Clinton Hospital Authority

  • General Acute Care Hospital
  • Clinton, OK
National Provider Identifier
1942921929
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
CLINTON HOSPITAL AUTHORITY
Practice address
100 N 30TH St
Clinton, OK 73601-3117
Phone
(580) 323-0261
NPI assigned
Sep 7, 2022
Last updated
Sep 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Authorized official

Name
Robert Johnston
Title
Authority Manager
Phone
(580) 323-0261

Specialties & licenses 1

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

Addresses

Primary practice location

100 N 30TH St
Clinton, OK 73601-3117

Mailing address

PO Box 1177
Clinton, OK 73601-1177
Phone (580) 323-0261

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250908003979 OK Part A Provider - Rural Emergency Hospital (Reh) 5092163873 Practice locations: Clinton, OK
O20251104000408 OK Part B Supplier - Intensive Cardiac Rehabilitation 5092163873 Receives reassigned benefits from 1 practitioner
Practice locations: Clinton, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942921929. Details of each certification follow.

Hospital certification: CCN 370784

Legal name
CLINTON HOSPITAL AUTHORITY
Doing business as
CLINTON REGIONAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Rural emergency hospital
Participating since
Nov 21, 2025
Last certification
Oct 1, 2025
Beds
1
Ownership / control type
Private (not for profit)
Organization structure
GovernmentProprietary
Enrollment address
100 North 30TH Street
Clinton, OK 73601-3117
Main/Primary Hospital Location

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Clinton Regional HospitalCCN 370784 · All quality measures
Type
Rural Emergency Hospital
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Clinton Hospital Authority Organization, Clinton, OK Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2023 100%
Kenneth I Baker Individual Corporate DirectorChairman of the Board Aug 1, 2023
Leonard U Lacefield Individual Corporate OfficerCeo Sep 25, 2023 100%
Corporate DirectorCeo Sep 25, 2023 100%
Operational/Managerial Control Jan 1, 2023
Chasity D Richardson Individual W-2 Managing EmployeeAdministrative Assistant Aug 1, 2023

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 32

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.

View all 32

Affiliated clinicians 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1942921929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1177",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736011177",
            "telephone_number": "580-323-0261",
            "fax_number": "580-323-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N 30TH ST",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736013117",
            "telephone_number": "580-323-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "AUTHORITY MANAGER",
        "authorized_official_telephone_number": "580-323-0261"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, OK

Sources for this page

Verify at the official NPI Registry.