CORDELL MEMORIAL HOSPITAL 0189 (NPI# 1205832003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205832003 |
| Entity Type | Organization |
| Organization Name | CORDELL MEMORIAL HOSPITAL 0189 |
| Other Organization Name | CORDELL HOSPITAL AUTHORITY DBA CORDELL MEMORIAL HOSPITAL |
| Practice Address |
1220 N Glenn L English St Cordell OK 73632-2010 |
| Practice Telephone | 5808323339 |
| Practice Fax Number | 5808325076 |
| Mailing Telephone | 5808323339 |
| Mailing Fax Number | 5808325076 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2014-09-22 |
| Authorized Official Name | MR. LANDON E HISE (CEO) |
| Authorized Official Telephone | 5808323339 |
| Is Organization Subpart | Y |
| Parent Organization Name | CORDELL MEMORIAL HOSPITAL 0189 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 2221 | OK | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | BCBS OF OKLAHOMA | 000370186001 | 01 |
| OK | 100819200A | 05 | |
| OK | 100819200B | 05 |
| Other Name | Type Code |
|---|---|
| Cordell Hospital Authority dba Cordell Memorial Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134532344 | Cordell Memorial Hospital 0189 | Clinic/Center | 1109 N Glenn L English St, Cordell, OK 73632-2007 | 2014-06-05 |
| 1750384426 | Cordell Memorial Hospital 0189 | General Acute Care Hospital | 1220 N Glenn L English St, Cordell, OK 73632-2010 | 2005-05-24 |
| 1598117137 | Cordell Memorial Hospital 0189 | Clinic/Center | 1200 N Glenn L English St, Cordell, OK 73632-2015 | 2016-07-07 |
| 1083017727 | Cordell Memorial Hospital 0189 | Clinic/Center | 1220 N Glenn L English St, Cordell, OK 73632-2010 | 2014-10-08 |
| 1780682476 | Cordell Memorial Hospital 0189 | Ambulance | 1220 N Glenn L English St, Cordell, OK 73632-2010 | 2005-07-07 |
| Street Address |
1220 N GLENN L ENGLISH ST |
| City | CORDELL |
| State | OK |
| Zip Code | 73632-2010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750384426 | Cordell Memorial Hospital 0189 | General Acute Care Hospital | 1220 N Glenn L English St, Cordell, OK 73632-2010 | 2005-05-24 |
| 1083017727 | Cordell Memorial Hospital 0189 | Clinic/Center | 1220 N Glenn L English St, Cordell, OK 73632-2010 | 2014-10-08 |
| 1780682476 | Cordell Memorial Hospital 0189 | Ambulance | 1220 N Glenn L English St, Cordell, OK 73632-2010 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538544986 | Southwest Orthopaedic Specialists, Pllc | Orthopaedic Surgery | 1109 N. Glenn English, Cordell, OK 73632 | 2015-07-28 |
| 1538219431 | El Reno Ihs Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1801 Parkview Drive, El Reno, OK 73632 | 2007-01-11 |
| 1659436681 | Kevin O Halloran | Dentist | 1211 N Glenn English, Cordell, OK 73632 | 2006-12-27 |
| 1093725988 | Fred E Norton | Dentist | 121 S Market St, Cordell, OK 73632 | 2006-08-09 |
| 1265451686 | Comanche County Healthcare | Family Medicine | 1200 N Glenn English, Cordell, OK 73632 | 2006-07-18 |
| 1306459839 | Dandi Deleah Sipes | Case Manager/Care Coordinator | 400 E 14th Apt 124, Cordell, OK 73632-1426 | 2020-08-25 |
| 1326059676 | Cordell Christian Home Incorporated | Skilled Nursing Facility | 1400 N College St, Cordell, OK 73632-1822 | 2006-08-11 |
| 1679019871 | Kimberly Bartlett | Occupational Therapy Assistant | 1400 N College St, Cordell, OK 73632-1822 | 2017-01-11 |
| 1134532344 | Cordell Memorial Hospital 0189 | Clinic/Center | 1109 N Glenn L English St, Cordell, OK 73632-2007 | 2014-06-05 |
| 1295079556 | Darrell Ray Hill | Nurse Practitioner | 1109 N Glenn English St, Cordell, OK 73632-2007 | 2012-11-26 |
| Find all providers in zip 73632 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568870921 | Seiling Municipal Hospital Authority | Medicare Defined Swing Bed Unit | Us Highway 60, Ne, Seiling, OK 73663 | 2014-07-30 |
| 1396988903 | Cah Acquisition Company 4 Inc | Medicare Defined Swing Bed Unit | 610 W Bypass, Drumright, OK 74030 | 2009-04-13 |
| 1265696090 | Sabine County Hospital District | Medicare Defined Swing Bed Unit | 120 W Macarthur St, Suite 121, Shawnee, OK 74804-2007 | 2008-07-10 |
| 1821269168 | Creek Nation Hospital & Clinics | Medicare Defined Swing Bed Unit | 309 North 14th Street, Okemah, OK 74859-2028 | 2008-03-14 |
| 1104008168 | Blackhawk Mangum LLC | Medicare Defined Swing Bed Unit | One Wickersham Drive, Mangum, OK 73554 | 2007-12-03 |
| 1588733828 | Ahs Henryetta Hospital LLC | Medicare Defined Swing Bed Unit | Dewey, Bartlett and Main, Henryetta, OK 74437 | 2006-11-08 |
| 1396832804 | Okeene Municipal Hospital and Schallmo Authority | Medicare Defined Swing Bed Unit | 207 East F Street, Okeene, OK 73763-0489 | 2006-10-06 |
| 1366412744 | Sayre Memorial Hospital, Inc. | Medicare Defined Swing Bed Unit | 911 Hospital Drive, Sayre, OK 73662-1206 | 2006-01-26 |
| 1578185377 | Haskell Regional Hospital, Inc. | Medicare Defined Swing Bed Unit | 401 Nw H St, Stigler, OK 74462-1625 | 2020-05-14 |
| 1982233466 | Rural Wellness Fairfax Inc | Medicare Defined Swing Bed Unit | 40 Hospital Rd, Fairfax, OK 74637-5084 | 2020-04-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.