MEMORIAL HOSPITAL OF TEXAS COUNTY (NPI# 1710349352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710349352 |
Entity Type | Organization |
Organization Name | MEMORIAL HOSPITAL OF TEXAS COUNTY |
Other Organization Name | KEYES WOMEN'S CLINIC |
Practice Address |
401 N Polk Ave Keyes OK 73947 |
Mailing Address |
520 Medical Dr Guymon OK 73942-4438 |
Practice Telephone | 5805467116 |
Practice Fax Number | 5805467226 |
Mailing Telephone | 5803386515 |
Mailing Fax Number | 5803385722 |
Enumeration Date | 2016-03-23 |
Last Update Date | 2016-10-14 |
Authorized Official Name | TROY ZINN (CEO) |
Authorized Official Telephone | 5803383113 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Keyes Women's Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114143252 | Memorial Hospital of Texas County | Rehabilitation Hospital | 520 Medical Drive, Guymon, OK 73942 | 2007-04-17 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | MEMORIAL HOSPITAL OF TEXAS COUNTY | 520 Medical Dr, Guymon, OK 73942-4438 |
Street Address |
401 N POLK AVE |
City | KEYES |
State | OK |
Zip Code | 73947 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942395611 | Johnnie Gayle Gibson | Dentist | 1734 Roosevelt, Box 1589, Guymon, OK 73947 | 2006-10-04 |
1609879717 | Town of Keyes Oklahoma | Ambulance | 106 E Third, Keyes, OK 73947 | 2005-05-23 |
1568664449 | Town of Keyes Oklahoma | Emergency Medical Technician, Basic | 106 E. 3rd, Keyes, OK 73947-0121 | 2007-06-04 |
Taxonomy Code | 207VX0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Obstetrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487040101 | Alyssa Mathilde Ohs | Obstetrics & Gynecology | 3400 W Tecumseh Rd Ste 205, Norman, OK 73072-1811 | 2015-04-09 |
1356339360 | Bryan Treacy | Obstetrics & Gynecology | 1035 Sw 19th St, Suite B, Moore, OK 73160-2883 | 2005-10-12 |
1760030027 | Phebe Joy Sistoso | Obstetrics & Gynecology | 4800 W San Antonio St, Broken Arrow, OK 74012-6127 | 2019-08-29 |
1982943536 | Memorial Hospital of Texas County Authority | Obstetrics & Gynecology | 421 Medical Dr, Guymon, OK 73942-3640 | 2013-02-01 |
1396082327 | Daran L. Parham, M.d., LLC | Obstetrics & Gynecology | 1725 E 19th St Ste 401, Tulsa, OK 74104-5409 | 2013-01-10 |
1689946360 | Marsha Nahra, Md, P.C. | Obstetrics & Gynecology | 6465 S Yale Ave, Ste 515, Tulsa, OK 74136-7823 | 2012-01-27 |
1124312004 | Jazmin Matlock Baker | Obstetrics & Gynecology | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2011-06-08 |
1003107863 | Marsha K. Howerton, Md, PC | Obstetrics & Gynecology | 6465 S Yale Ave, Suite 310, Tulsa, OK 74136-7823 | 2011-04-28 |
1881996155 | John R. Dosser, M.d., Inc. A Professional Corporation | Obstetrics & Gynecology | 3617 Nw 58th St, #200, Oklahoma City, OK 73112-4487 | 2010-11-18 |
1285951186 | Ryan Daniel Gholson | Obstetrics & Gynecology | 717 S Houston Ave Ste 200, Tulsa, OK 74127-9005 | 2010-05-01 |
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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.