ARBUCKLE MEMORIAL HOSPITAL (NPI# 1730541673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730541673 |
| Entity Type | Organization |
| Organization Name | ARBUCKLE MEMORIAL HOSPITAL |
| Other Organization Name | ARBUCKLE FAMILY CLINIC |
| Practice Address |
2011 W Broadway Ave Sulphur OK 73086 |
| Mailing Address |
Po Box 1109 Sulphur OK 73086-8109 |
| Practice Telephone | 5806224482 |
| Practice Fax Number | 5806225509 |
| Mailing Telephone | 5806224482 |
| Mailing Fax Number | 5806225509 |
| Enumeration Date | 2016-03-21 |
| Last Update Date | 2019-11-25 |
| Authorized Official Name | JEREMY JONES (CEO) |
| Authorized Official Telephone | 5806222161 |
| Is Organization Subpart | Y |
| Parent Organization Name | ARBUCKLE MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
OK | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| ARBUCKLE FAMILY CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700869492 | Arbuckle Memorial Hospital | General Acute Care Hospital | 2011 W Broadway Ave, Sulphur, OK 73086-4221 | 2005-11-28 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700869492 | Arbuckle Memorial Hospital | General Acute Care Hospital | 2011 W Broadway Ave, Sulphur, OK 73086-4221 | 2005-11-28 |
| 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 |
| 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 | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245744 | Baptist Healthcare of Oklahoma, LLC | Clinic/Center | 310 2nd Ave Sw Stes 101, 102, 103, 104, 106a, 106b, 107a, 107b, 203, 207 & 208, Miami, OK 74354-6743 | 2020-11-03 |
| 1275133993 | Integris Grove Hospital | Clinic/Center | 216 S 7th St Ste 1, Vinita, OK 74301-3720 | 2020-10-30 |
| 1205436938 | Integris Bass Baptist Health Center | Clinic/Center | 1805 W Owen K Garriott Rd, Enid, OK 73703-5526 | 2020-10-30 |
| 1699385278 | Verdigris Valley Family Medicine LLC | Clinic/Center | 25965 S Highway 66 Ste B, Claremore, OK 74019-2468 | 2020-08-07 |
| 1538798897 | Stillwater Medical Center Authority | Clinic/Center | 1411 W 7th Ave Ste 201, Stillwater, OK 74074-4300 | 2020-04-07 |
| 1275161457 | Drumright Community Hospital LLC | Clinic/Center | 612 W Bypass, Drumright, OK 74030-5957 | 2020-04-01 |
| 1982237244 | Stillwater Medical Center Authority | Clinic/Center | 1116 Manvel Ave, Chandler, OK 74834-3856 | 2020-02-14 |
| 1366075616 | Stillwater Medical Center Authority | Clinic/Center | 505 E Highway 33, Perkins, OK 74059-4520 | 2020-02-14 |
| 1336772680 | Stillwater Medical Center Authority | Clinic/Center | 518 E Lakeview Rd, Stillwater, OK 74075-2825 | 2020-02-14 |
| 1447883780 | Stillwater Medical Center Authority | Clinic/Center | 600 S Linwood Ave Ste A, Cushing, OK 74023-4630 | 2020-02-14 |
| 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.