ARBUCKLE MEMORIAL HOSPITAL (NPI# 1700869492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700869492 |
| Entity Type | Organization |
| Organization Name | ARBUCKLE MEMORIAL HOSPITAL |
| Practice Address |
2011 W Broadway Ave Sulphur OK 73086-4221 |
| Mailing Address |
Po Box 1109 Sulphur OK 73086-8109 |
| Practice Telephone | 5806222161 |
| Practice Fax Number | 5806225519 |
| Mailing Telephone | 5806222161 |
| Mailing Fax Number | 5806226455 |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2019-11-25 |
| Authorized Official Name | JEREMY JONES (CEO) |
| Authorized Official Telephone | 5806222161 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
2278 | OK | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100700790D | 05 | |
| OK | 100700790A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730541673 | Arbuckle Memorial Hospital | Clinic/Center | 2011 W Broadway Ave, Sulphur, OK 73086 | 2016-03-21 |
| 1194023911 | Arbuckle Memorial Hospital | Clinic/Center | 2007 W Broadway Ave, Sulphur, OK 73086-4221 | 2011-03-02 |
| 1013215839 | Arbuckle Memorial Hospital | Clinic/Center | 610 E Main St, Davis, OK 73030-1912 | 2011-03-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ARBUCKLE MEMORIAL HOSPITAL | 2011 W Broadway Ave, Sulphur, OK 73086-4221 |
| Street Address |
2011 W BROADWAY AVE |
| City | SULPHUR |
| State | OK |
| Zip Code | 73086-4221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225556681 | Stacey Lynn Smith | Nurse Practitioner | 2011 W Broadway Ave, Sulphur, OK 73086-4221 | 2017-09-06 |
| 1902324262 | Tyger Michelle Freeman | Nurse Practitioner | 2011 W Broadway Ave, Sulphur, OK 73086-4221 | 2017-09-06 |
| 1730541673 | Arbuckle Memorial Hospital | Clinic/Center | 2011 W Broadway Ave, Sulphur, OK 73086 | 2016-03-21 |
| 1073957049 | Brandon S Drabek | Family Medicine | 2011 W Broadway Ave, Sulphur, OK 73086 | 2013-04-22 |
| 1821221771 | Brenda Kay Winters | Nurse Practitioner | 2011 W Broadway Ave, Sulphur, OK 73086-4221 | 2009-08-26 |
| 1407899941 | Arbuckle Family Clinic | Family Medicine | 2011 W Broadway Ave, Sulphur, OK 73086-4221 | 2006-06-13 |
| 1265475735 | Teresa J Lynn | Family Medicine | 2011 W Broadway Ave, Sulphur, OK 73086-4221 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124680079 | Arbuckle Chiropractic LLC | Chiropractor | 1500 W. 1st St, Sulphur, OK 73086 | 2019-07-01 |
| 1205959046 | Teresa Truelock | Contractor | 606 Circle Top Dr., Sulphur, OK 73086 | 2007-04-09 |
| 1215021894 | Diane Michele Rowe | Pharmacist | 815 W. Broadway, Sulphur, OK 73086 | 2006-10-03 |
| 1538260872 | Shaun E Swartz II | Pharmacy Technician | 1603 West 14th, Sulphur, OK 73086 | 2006-09-26 |
| 1154428696 | David R Pittman | Pharmacist | 815 West Broadway, Sulphur, OK 73086 | 2006-09-19 |
| 1699858134 | Sooner Pharmacy | Pharmacist | 815 West Broadway, Sulphur, OK 73086 | 2006-10-20 |
| 1811058589 | Evan Lee Bragg | Optometrist | 1010 West 3rd St, Sulphur, OK 73086-0499 | 2006-12-13 |
| 1265719850 | Wendie Renea Butts | Counselor | 3183 W 14th St, Sulphur, OK 73086-1117 | 2011-11-09 |
| 1588663520 | Artesian Home, Inc. | Nursing Facility/Intermediate Care Facility | 1415 W 15th St, Sulphur, OK 73086-2003 | 2005-07-20 |
| 1497156087 | Larry Lindquist | Counselor | 2700 W. Broadway, Sulphur, OK 73086-2700 | 2014-09-15 |
| Find all providers in zip 73086 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285047779 | Cordell Hospital Authority | General Acute Care Hospital | 1109 N Glenn L. English St, Cordell, OK 73632-2010 | 2014-06-03 |
| 1083048417 | Mercy Hospital Kingfisher, Inc | General Acute Care Hospital | 1000 Kingfisher Regional Hospital Drive, Kingfisher, OK 73750 | 2013-08-21 |
| 1326352204 | Weatherford Hospital Authority | General Acute Care Hospital | 3727 Legacy, Weatherford, OK 73096 | 2010-08-03 |
| 1922329853 | Cah Acquisition Company 16 LLC | General Acute Care Hospital | 401 Nw H Street, Stigler, OK 74462 | 2010-06-15 |
| 1427295872 | Cleveland Area Hospital Holdings, Inc. | General Acute Care Hospital | 1401 West Pawnee, Cleveland, OK 74020 | 2009-01-07 |
| 1427234566 | Tulsa Hospitalists | General Acute Care Hospital | 15608 Traditions Dr, Edmond, OK 73013-1150 | 2008-01-19 |
| 1942486733 | Mercy Hospital of Pittsburgh | General Acute Care Hospital | 1100 N Lindsay Ave, Oklahoma City, OK 73104-5410 | 2008-01-11 |
| 1053447086 | Jane Phillips Nowata Health Center | General Acute Care Hospital | 237 S Locust St, Nowata, OK 74048-3660 | 2007-02-26 |
| 1073617619 | Seiling Municipal Hospital Authority | General Acute Care Hospital | Hwy 60, Ne, Seiling, OK 73663 | 2006-09-12 |
| 1497857437 | Roger Mills County Hospital Authority | General Acute Care Hospital | 501 S Ll Males Ave, Cheyenne, OK 73628-0219 | 2006-09-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ARBUCKLE MEMORIAL HOSPITAL.
| 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.