Active NPI
Marshall County Hma LLC
- Rural Health Clinic/Center
- Madill, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- License
- 2282
- Legal business name
- MARSHALL COUNTY HMA LLC
- Practice address
- 907 Hospital Dr
Madill, OK 73446-5508 - Phone
- (580) 795-0191
- NPI assigned
- Mar 16, 2017
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | 2282 | OK | Primary |
Addresses
Primary practice location
907 Hospital Dr
Madill, OK 73446-5508
Mailing address
907 Hospital Dr
Madill, OK 73446-5508
Phone (580) 795-0191
Other names 1
- AllianceHealth Madill Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170517001423 | OK | Part A Provider - Rural Health Clinic | 5193985653 | Practice locations: Madill, OK |
Rural health clinic certification: CCN 378506
- Legal name
- MARSHALL COUNTY HMA, LLC
- Doing business as
- ALLIANCEHEALTH MADILL CLINIC
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Nov 16, 2017
- Last certification
- May 12, 2021
- Ownership / control type
- 1B
- Organization structure
- LLC
- Incorporated
- Dec 22, 2011 in OK
- Enrollment address
- 907 Hospital Dr
Madill, OK 73446-5508 - Related CCNs
- 371326
Related certifications (CCN) 1
Facilities connected through Provider of Services related, parent or unit certification numbers.
Other NPIs with the same Medicare PAC ID 6
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Medicare Defined Swing Bed Hospital Unit
- Madill, OK
- NPI 1053414037
5193985653
National Provider Directory
National Provider Directory- Tax ID family
- Alliancehealth Madill
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rural Health Clinic/Center
- Durant, OK
- NPI 1063910925
-
- Rural Health Clinic/Center
- Atoka, OK
- NPI 1003670647
-
- Medicare Defined Swing Bed Hospital Unit
- Madill, OK
- NPI 1053414037
-
- Rural Health Clinic/Center
- Kingston, OK
- NPI 1326802968
-
- Critical Access Hospital
- Madill, OK
- NPI 1467476556
-
- Rural Health Clinic/Center
- Durant, OK
- NPI 1558128421
Ownership & related parties
All disclosed owners & managing parties 16
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Kevin J Hammons | Corporate Officer | Mar 1, 2022 | |
| Corporate Director | Mar 1, 2022 | ||
| Nathaniel K Summar | Corporate Director | Jul 14, 2017 | |
| Justin D Pitt | Corporate Officer | Mar 1, 2022 | |
| Corporate Director | Mar 1, 2022 | ||
| Health Management Associates LLC | 5% Or Greater Indirect Ownership Interest | Jun 1, 2017 | 100% |
| William Bradley Cash | Corporate Officer | Mar 1, 2022 | |
| Hma-Tri Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jun 1, 2017 | 100% |
| Community Health Systems Inc | 5% Or Greater Indirect Ownership Interest | Jun 1, 2017 | 100% |
| Jason Kevin Johnson | Corporate Officer | Jan 6, 2020 | |
| Central States Hma Holdings LLC | 5% Or Greater Direct Ownership Interest | Jun 1, 2017 | 100% |
| Kevin Duane Samrow | W-2 Managing Employee | Sep 16, 2019 | |
| Roman Gabriel Ottinger | Corporate Officer | Jan 6, 2020 | |
| Health Management Associates LP | 5% Or Greater Indirect Ownership Interest | Jun 1, 2017 | 99% |
| Paula M Lalor | Corporate Director | Apr 1, 2017 | |
| Edna S Buffington-Price | Corporate Director | Mar 1, 2022 | |
| Christopher G Cobb | Corporate Officer | Mar 1, 2022 | |
| CHS Community Health Systems Inc | 5% Or Greater Indirect Ownership Interest | Jun 1, 2017 | 100% |
Facilities with the same owner 120
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- General Acute Care Hospital
- Durant, OK
- NPI 1770522906
Central States Hma Holdings LLC, CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Health Management Associates LP, Hma-Tri Holdings LLC
-
- Rural Health Clinic/Center
- Durant, OK
- NPI 1063910925
Central States Hma Holdings LLC, CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Health Management Associates LP, Hma-Tri Holdings LLC
-
- Rural Health Clinic/Center
- Atoka, OK
- NPI 1003670647
Central States Hma Holdings LLC, CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Health Management Associates LP, Hma-Tri Holdings LLC
-
- Medicare Defined Swing Bed Hospital Unit
- Madill, OK
- NPI 1053414037
Central States Hma Holdings LLC, CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Health Management Associates LP, Hma-Tri Holdings LLC
-
- Rural Health Clinic/Center
- Kingston, OK
- NPI 1326802968
Central States Hma Holdings LLC, CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Health Management Associates LP, Hma-Tri Holdings LLC
-
- Critical Access Hospital
- Madill, OK
- NPI 1467476556
Central States Hma Holdings LLC, CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Health Management Associates LP, Hma-Tri Holdings LLC
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1023061405
CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC
-
- Psychiatric Hospital Unit
- Birmingham, AL
- NPI 1043263221
CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC
-
- Rehabilitation Hospital Unit
- Birmingham, AL
- NPI 1720001019
CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC
-
- Medicare Defined Swing Bed Hospital Unit
- Bluffton, IN
- NPI 1356839591
CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC
-
- General Acute Care Hospital
- Bluffton, IN
- NPI 1376594366
CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC
-
- General Acute Care Hospital
- Brandon, MS
- NPI 1205882669
CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Health Management Associates LP, Hma-Tri Holdings LLC
Practitioners & affiliated clinicians
Practitioners 13
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Durant, OK
- NPI 1700346350
-
- Family Medicine Physician
- Madill, OK
- NPI 1306416607
-
- Internal Medicine Physician
- Durant, OK
- NPI 1437151370
-
- Family Medicine Physician
- Durant, OK
- NPI 1699215780
-
- Nurse Practitioner
- Durant, OK
- NPI 1326651118
-
- Internal Medicine Physician
- Durant, OK
- NPI 1275827305
-
- Physician Assistant
- Durant, OK
- NPI 1114952678
-
- Physician Assistant
- Kingston, OK
- NPI 1316761950
-
- Internal Medicine Physician
- Allen, TX
- NPI 1316264971
-
- Family Nurse Practitioner
- Boswell, OK
- NPI 1992525976
-
- Family Medicine Physician
- Durant, OK
- NPI 1730706219
-
- Family Nurse Practitioner
- Kingston, OK
- NPI 1053774794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489622400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1618358400000",
"number": "1992246565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "907 HOSPITAL DR",
"city": "MADILL",
"state": "OK",
"postal_code": "734465508",
"telephone_number": "580-795-0191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 HOSPITAL DR",
"city": "MADILL",
"state": "OK",
"postal_code": "734465508",
"telephone_number": "580-795-0191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARSHALL COUNTY HMA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-16",
"last_updated": "2021-04-14",
"certification_date": "2021-04-14",
"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": "2282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AllianceHealth Madill Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Madill, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.