CRAIG COUNTY HOSPITAL AUTHORITY (NPI# 1811931777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811931777 |
| Entity Type | Organization |
| Organization Name | CRAIG COUNTY HOSPITAL AUTHORITY |
| Other Organization Name | GRAND LAKE MEDICAL PARK - LANGLEY |
| Practice Address |
36488 S Highway 82 Vinita OK 74301-7438 |
| Mailing Address |
Po Box 326 Vinita OK 74301 |
| Practice Telephone | 9187821881 |
| Practice Fax Number | 9187824266 |
| Mailing Telephone | 9187821881 |
| Mailing Fax Number | 9187824266 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2015-03-03 |
| Authorized Official Name | MR. HERBERT F. CRUM JR. (CEO) |
| 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 |
|---|---|---|---|---|---|
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
2182 | OK | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100261400L | 05 |
| Other Name | Type Code |
|---|---|
| GRAND LAKE MEDICAL PARK - LANGLEY | 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 |
| 1265602056 | Craig County Hospital Authority | General Acute Care Hospital | 26300 S Highway 125, Afton, OK 74331-6282 | 2008-03-07 |
| 1770752800 | Craig County Hospital Authority | Clinic/Center | 10 S Treaty Rd, Miami, OK 74354-5330 | 2008-02-22 |
| 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 |
36488 S HIGHWAY 82 |
| City | VINITA |
| State | OK |
| Zip Code | 74301-7438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124011242 | Laura Jean Hallacy | Nurse Practitioner | 36488 S Highway 82, Vinita, OK 74301-7438 | 2005-08-24 |
| 1871033894 | Jesse Carper | Physical Therapy Assistant | 36488 S Highway 82, Vinita, OK 74301-7438 | 2017-02-24 |
| 1033660022 | Saint Francis Hospital Vinita, Inc | General Acute Care Hospital | 36488 S Highway 82, Vinita, OK 74301-7438 | 2016-10-14 |
| 1952660045 | Tracy Lynn Martin | Nurse Practitioner | 36488 S Highway 82, Vinita, OK 74301-7438 | 2012-05-09 |
| 1336385343 | Sarah Ann Weldon | Physical Therapy Assistant | 36488 S Highway 82, Vinita, OK 74301-7438 | 2008-12-22 |
| 1114074291 | Cindy A. Noble | Nurse Practitioner | 36488 S Highway 82, Vinita, OK 74301-7438 | 2007-01-04 |
| 1518946326 | Margaret Ella Meredith | Physician Assistant | 36488 S Highway 82, Vinita, OK 74301-7438 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740786 | Jennifer Lynn Black | Registered Nurse | 24919 S 4420 Road, Vinita, OK 74301 | 2020-11-03 |
| 1720686272 | Chancie Marie Cooper | Case Manager/Care Coordinator | 444 737 Hwy 28, Vinita, OK 74301 | 2020-10-15 |
| 1265082515 | Ruth Irving | Technician | 843 North Miller, Vinita, OK 74301 | 2019-09-18 |
| 1952897449 | Sarah Renee Gilmore | Behavior Technician | 526 N. Brewer, Vinita, OK 74301 | 2018-07-08 |
| 1134664683 | Sheila Mason | Nurse Practitioner | Department of Veterans Affairs Clinic, 269 South 7th Street, Vinita, OK 74301 | 2016-12-19 |
| 1881145274 | Saint Francis Hospital Vinita, Inc | Clinic/Center | 711 North Brewer Street, Vinita, OK 74301 | 2016-10-20 |
| 1699147249 | Beth Powell | Peer Specialist | 405 East Excelsior Ave, Vinita, OK 74301 | 2015-10-22 |
| 1790196202 | Peter Rausch | Psychologist | 735 N. Foreman St., Vinita, OK 74301 | 2014-05-19 |
| 1548605041 | Anita Joy Cantrell | Counselor | 1520 North Industrial Ave, Vinita, OK 74301 | 2013-05-10 |
| 1033469606 | Matt Lance Oldacre | Pharmacist | 525 S. Wilson, Vinita, OK 74301 | 2012-09-11 |
| Find all providers in zip 74301 | ||||
| Taxonomy Code | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033660022 | Saint Francis Hospital Vinita, Inc | General Acute Care Hospital | 36488 S Highway 82, Vinita, OK 74301-7438 | 2016-10-14 |
| 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.