NPIMap

Organization Active NPI

McCurtain Memorial Medical Management, Inc.

  • Emergency Medicine Physician
  • Idabel, OK
National Provider Identifier
1992919013
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC.
Practice address
1301 E Lincoln Road
Idabel, OK 74745-7300
Phone
(580) 208-3100
Fax
(580) 208-3104
NPI assigned
May 9, 2007
Organization subpart
Yes
Parent organization
MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Authorized official

Name
Kena Cheree Allen
Title
Cfo
Phone
(580) 286-7623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

1301 E Lincoln Road
Idabel, OK 74745-7300

Mailing address

1301 E Lincoln Rd
Idabel, OK 74745-7300
Phone (580) 208-3100

Other identifiers 2

IdentifierTypeStateIssuer
100700920HMedicaidOK
100700920BMedicaidOK

Other names 1

  • McCurtain Memorial Hospital ED Physicians Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040626000315 OK Part B Supplier - Clinic/Group Practice 8022926252 Receives reassigned benefits from 59 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Idabel, OK; Broken Bow, OK

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
McCurtain Memorial HSP16 organizations share this tax ID, including this one
Part of
McCurtain Memorial HSP

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

1301 E Lincoln Rd
Idabel, OK 74745
Phone (580) 208-3103

1425 E Lincoln Rd
Ste B4
Idabel, OK 74745
Phone (580) 286-4900

5300 N Grand Blvd
Ste 100
Oklahoma City, OK 73112

101 E Terri Dr
Valliant, OK 74764
Phone (580) 933-9025

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1992919013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 E LINCOLN RD",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747457300",
            "telephone_number": "580-208-3100",
            "fax_number": "580-208-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E LINCOLN ROAD",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747457300",
            "telephone_number": "580-208-3100",
            "fax_number": "580-208-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC",
        "enumeration_date": "2007-05-09",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "KENA",
        "authorized_official_middle_name": "CHEREE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "580-286-7623"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100700920H",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100700920B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McCurtain Memorial Hospital ED Physicians",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Idabel, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.