CLC - EUFAULA COMMUNITY HOSPITAL, INC. (NPI# 1407081490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407081490 |
| Entity Type | Organization |
| Organization Name | CLC - EUFAULA COMMUNITY HOSPITAL, INC. |
| Other Organization Name | COMMUNITY HOSPITAL LAKEVIEW |
| Practice Address |
1 Hospital Drive Eufaula OK 74432-0629 |
| Mailing Address |
138 East Spring Street Suite 200 New Albany IN 47150-3457 |
| Practice Telephone | 9186892535 |
| Mailing Telephone | 8129491838 |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2009-05-20 |
| Authorized Official Name | RODNEY EDWARD JEDLICKI (PRESIDENT) |
| Authorized Official Telephone | 8129491838 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY LIFECARE COPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
2181 | OK | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | MEDICARE PROVIDER NUMBER | 370169 | 01 |
| Other Name | Type Code |
|---|---|
| Community Hospital Lakeview | Doing Business As Name - Organization |
| Street Address |
1 HOSPITAL DRIVE |
| City | EUFAULA |
| State | OK |
| Zip Code | 74432-0629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992272249 | Carlton Landing Academy | Local Education Agency (LEA) | 10 Blvd Carlton Landing, Eufaula, OK 74432 | 2018-10-25 |
| 1780169631 | Kristin Corbin | Registered Nurse | 500 Eunice Burns, Eufaula, OK 74432 | 2018-09-26 |
| 1831670934 | Brandy Nicole Chiles | Registered Nurse | 500 Eunice Burns Road, Eufaula, OK 74432 | 2018-08-27 |
| 1922527506 | Rebekah Lea Mason | Counselor | 16820 State Highway 9 East, Eufaula, OK 74432 | 2017-09-14 |
| 1902328727 | Southeast Imaging, LLC | Physiological Laboratory | 111 Forest Ave., Suite C, Eufaula, OK 74432 | 2017-07-13 |
| 1881127561 | Charity Brady | Physical Therapist | 29 Hospital Rd, Eufaula, OK 74432 | 2017-04-10 |
| 1700209145 | Beverly Mefford | Social Worker | 104 Alexander Dr., Eufaula, OK 74432 | 2014-01-21 |
| 1649551177 | Cynthia Paula Vanpool | Case Manager/Care Coordinator | Rural Route 1 Box 131 C, Eufaula, OK 74432 | 2011-08-29 |
| 1285938621 | Drs Odom Coburn and Richardson Pllc | Optometrist | 403 S Main, Eufaula, OK 74432 | 2010-12-28 |
| 1255648580 | Southeastern Oklahoma Family Services, Inc. | Clinic/Center | 39 East Foley, Eufaula, OK 74432 | 2010-09-08 |
| Find all providers in zip 74432 | ||||
| Taxonomy Code | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659316776 | Mcalester Regional Health Center Authority | General Acute Care Hospital | 19 Kiamichi Road, Eufaula, OK 74432 | 2006-06-20 |
| 1245519651 | Jeay Medical Services | General Acute Care Hospital | 1 Hospital Dr, Eufaula, OK 74432-4010 | 2011-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992155386 | Jami Grantz | General Acute Care Hospital | 1000 Kingfisher Reg Hosp Dr, Kingfisher, OK 73750 | 2016-06-15 |
| 1619232972 | Diagnostic Imaging Associates | General Acute Care Hospital | 4500 S Garnett Rd, Ste 300, Tulsa, OK 74146 | 2012-07-11 |
| 1497057699 | Craig County Hospital Authority | General Acute Care Hospital | 343 S. Commercial St., Welch, OK 74369-0000 | 2010-11-22 |
| 1538390497 | Texoma Medical Center | General Acute Care Hospital | 5115 Roadrunner Drive, Durant, OK 74701 | 2009-07-27 |
| 1265602056 | Craig County Hospital Authority | General Acute Care Hospital | 26300 S Highway 125, Afton, OK 74331-6282 | 2008-03-07 |
| 1225216849 | Ahs Bristow Hospital | General Acute Care Hospital | 700 W 7th Ave Ste 6, Bristow, OK 74010-2302 | 2008-02-06 |
| 1972780252 | Purcell Municipal Hospital | General Acute Care Hospital | 504 Williams, Maysville, OK 73057 | 2008-01-29 |
| 1598964637 | Purcell Municipal Hospital | General Acute Care Hospital | 504 Williams Street, Maysville, OK 73057-0660 | 2007-07-17 |
| 1508947987 | Dominick 's Anesthesia Service Inc | General Acute Care Hospital | 17781 S.543 Road, Tahlequah, OK 74464-2000 | 2006-10-18 |
| 1972539567 | Sequoyah County City of Sallisaw Hospital Authority | General Acute Care Hospital | 213 E Redwood Ave, Sallisaw, OK 74955-2811 | 2006-06-24 |
| 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.