CRAIG COUNTY HOSPITAL AUTHORITY (NPI# 1265602056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265602056 |
| Entity Type | Organization |
| Organization Name | CRAIG COUNTY HOSPITAL AUTHORITY |
| Other Organization Name | GRAND LAKE MEDICAL PARK - MONKEY ISLAND |
| Practice Address |
26300 S Highway 125 Afton OK 74331-6282 |
| Mailing Address |
Po Box 326 Vinita OK 74301-0326 |
| Practice Telephone | 9182578585 |
| Practice Fax Number | 9182578560 |
| Mailing Telephone | 9182567551 |
| Mailing Fax Number | 9182563703 |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2015-03-03 |
| Authorized Official Name | MR. HERBERT F. CRUM JR. (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9182567551 |
| Is Organization Subpart | Y |
| Parent Organization Name | CRAIG COUNTY HOSPITAL AUTHORITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
2182 | OK | Hospitals |
| Y | 261Q00000X | Clinic/Center | 2182 | OK | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100261400K | 05 |
| Other Name | Type Code |
|---|---|
| Grand Lake Medical Park - Monkey Island | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497057699 | Craig County Hospital Authority | General Acute Care Hospital | 343 S. Commercial St., Welch, OK 74369-0000 | 2010-11-22 |
| 1770752800 | Craig County Hospital Authority | Clinic/Center | 10 S Treaty Rd, Miami, OK 74354-5330 | 2008-02-22 |
| 1811931777 | Craig County Hospital Authority | General Acute Care Hospital | 36488 S Highway 82, Vinita, OK 74301-7438 | 2006-06-15 |
| 1265476121 | Craig County Hospital Authority | Durable Medical Equipment & Medical Supplies | 735 N Foreman St, Vinita, OK 74301-1422 | 2006-06-15 |
| 1487697629 | Craig County Hospital Authority | Psychiatric Unit | 735 N Foreman St, Vinita, OK 74301-1422 | 2006-06-14 |
| 1295778231 | Craig County Hospital Authority | Home Health | 735 N Foreman St, Vinita, OK 74301-1422 | 2006-06-14 |
| 1437192440 | Craig County Hospital Authority | Medicare Defined Swing Bed Unit | 735 N Foreman St, Vinita, OK 74301-1422 | 2006-06-14 |
| 1306886866 | Craig County Hospital Authority | General Acute Care Hospital | 735 N Foreman St, Vinita, OK 74301-1422 | 2006-06-06 |
| Street Address |
26300 S HIGHWAY 125 |
| City | AFTON |
| State | OK |
| Zip Code | 74331-6282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427506633 | Saint Francis Hospital Vinita, Inc | General Acute Care Hospital | 26300 S Highway 125, Afton, OK 74331-6282 | 2016-09-16 |
| 1922317247 | Brandon Wayne Foster | Physical Therapy Assistant | 26300 S Highway 125, Afton, OK 74331-6282 | 2010-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578114575 | Tena Kennon | Technician | 54301 East 250 Road, Afton, OK 74331 | 2019-09-23 |
| 1376920660 | Dayspring Community Services | Community/Behavioral Health | 3 Southeast 1st St, Afton, OK 74331 | 2015-05-06 |
| 1578742383 | Chiropractic Associates of Miami | Clinic/Center | 30650 S. Lakeside Dr., Afton, OK 74331 | 2007-10-29 |
| 1174735088 | Integrity Emergency Medical Services of Oklahoma LLC | Ambulance | 104 Sw 1st Street, Afton, OK 74331 | 2007-05-04 |
| 1043371198 | Courtland Prentice Smith Jr. | Otolaryngology | 26300 South Hwy 125, Afton, OK 74331 | 2006-12-13 |
| 1710920152 | Debra Maxton Miller | Counselor | 138 S. Main, Afton, OK 74331 | 2006-06-14 |
| 1639654429 | Sheena Nidiffer | Peer Specialist | 138 S. Main St, Afton, OK 74331 | 2018-09-27 |
| 1003397084 | Jaime Joseph Siegmann | Peer Specialist | 138 S Main St, Afton, OK 74331 | 2018-08-27 |
| 1730674508 | Caleigh Nichols | Social Worker | 138 S Main St, Afton, OK 74331 | 2018-06-25 |
| 1326539768 | Tim R Lucas | Peer Specialist | 138 S Main, Afton, OK 74331 | 2018-05-22 |
| Find all providers in zip 74331 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164737383 | Dr Feehan Limited | Clinic/Center | 3343 Saint Croix Trl S, Afton, MN 55001-7301 | 2010-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275471 | Osu Center for Health Sciences | Clinic/Center | 1 E Clark Bass Blvd Ste 201, Mcalester, OK 74501-4209 | 2020-11-06 |
| 1427662170 | Osu Center for Health Sciences | Clinic/Center | 802 S Jackson Ave Ste 410, Tulsa, OK 74127-9059 | 2020-09-01 |
| 1154949642 | Osu Center for Health Sciences | Clinic/Center | 140 W 151st St S, Glenpool, OK 74033-4523 | 2020-07-10 |
| 1235757071 | Equality Health Group LLC | Clinic/Center | 4301 Nw 63rd St Ste 109, Oklahoma City, OK 73116-1548 | 2020-07-08 |
| 1538785985 | Stars and Stripes Therapy Inc. | Clinic/Center | 713 Sw C Ave Ste A, Lawton, OK 73501-4311 | 2020-06-22 |
| 1265058101 | Taylor Medical Group, LLP | Clinic/Center | 735 W Locust St, Stilwell, OK 74960-3403 | 2020-06-16 |
| 1891317731 | Sparks Medical Consulting LLC | Clinic/Center | 1604 Sw 38th St, Moore, OK 73160-2953 | 2020-05-14 |
| 1093341844 | Osu Center for Health Sciences | Clinic/Center | 3201 W Gore Blvd Ste G2, Lawton, OK 73505-6323 | 2020-03-12 |
| 1255964128 | Osu Center for Health Sciences | Clinic/Center | 110 Nw 31st St Fl 3, Lawton, OK 73505-6100 | 2020-02-19 |
| 1104458231 | Osu Center for Health Sciences | Clinic/Center | 6501 S Western Ave Ste 101, Oklahoma City, OK 73139-1709 | 2020-02-06 |
| 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.