HOLDENVILLE HOSPITAL AUTHORITY (NPI# 1932557816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932557816 |
| Entity Type | Organization |
| Organization Name | HOLDENVILLE HOSPITAL AUTHORITY |
| Other Organization Name | HOLDENVILLE GENERAL HOSPITAL ALLEN HEALTH CLINIC |
| Practice Address |
202 W Broadway Allen OK 74825 |
| Mailing Address |
100 Mcdougal Dr Holdenville OK 74848-2822 |
| Practice Telephone | 5808572424 |
| Practice Fax Number | 5808572220 |
| Mailing Telephone | 4053794200 |
| Mailing Fax Number | 4053794284 |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2016-06-01 |
| Authorized Official Name | MRS. ROBERTA RUTH JEFFREY (CEO) |
| Authorized Official Telephone | 4053794200 |
| Authorized Official Credential | RN, BSN, MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Holdenville General Hospital Allen Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174942361 | Holdenville Hospital Authority | Clinic/Center | 202 W Broadway, Allen, OK 74825 | 2014-04-15 |
| 1902265309 | Holdenville Hospital Authority | Clinic/Center | 100 Mcdougal Dr, Holdenville, OK 74848-2822 | 2016-02-15 |
| 1285038596 | Holdenville Hospital Authority | Clinic/Center | 1401 W 1st St, Wewoka, OK 74884-5097 | 2014-10-15 |
| 1821417015 | Holdenville Hospital Authority | Medicare Defined Swing Bed Unit | 100 Mcdougal Dr, Holdenville, OK 74848-2822 | 2014-04-15 |
| 1780003970 | Holdenville Hospital Authority | Clinic/Center | 100 Mcdougal Dr, Holdenville, OK 74848-2822 | 2014-04-15 |
| 1871912063 | Holdenville Hospital Authority | Clinic/Center | 100 Mcdougal Dr, Holdenville, OK 74848-2822 | 2014-04-15 |
| 1265851455 | Holdenville Hospital Authority | General Acute Care Hospital | 100 Mcdougal Dr, Holdenville, OK 74848-2822 | 2014-04-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | HOLDENVILLE HOSPITAL AUTHORITY | Holdenville, OK 74848 |
| Street Address |
202 W BROADWAY |
| City | ALLEN |
| State | OK |
| Zip Code | 74825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174942361 | Holdenville Hospital Authority | Clinic/Center | 202 W Broadway, Allen, OK 74825 | 2014-04-15 |
| 1083153514 | Allen Health Clinic LLC | Clinic/Center | 202 W Broadway, Allen, OK 74824 | 2017-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912365685 | Krystal Shephard | Home Health | 208 E. Broadway Ave., Allen, OKLAHOMA 74825 | 2016-02-09 |
| 1073983961 | Heather Prentice | Registered Nurse | 202 West Broadway, Allen, OK 74825 | 2015-10-05 |
| 1205876752 | Rural Health Care Innovations | Family Medicine | 200 N Easton, Allen, OK 74825-0250 | 2006-06-06 |
| 1265491237 | Jeffry Michael Bryen | Physician Assistant | 200 N. Easton, Allen, OK 74825-0250 | 2006-03-20 |
| 1891871885 | Holdenville General Hospital Scholarship Fund Inc | Clinic/Center | 202 West Broadway, Allen, OK 74825-0350 | 2006-10-31 |
| 1245514181 | Allen Public Schools | Local Education Agency (LEA) | 110 North Richmond, Allen, OK 74825-0430 | 2011-10-10 |
| 1912470949 | Lafave Melton Medical Inc | Family Medicine | 501 E Conway, Allen, OK 74825-2904 | 2019-01-02 |
| 1669840831 | Peggy Sue Rinehart | Peer Specialist | 15306 County Road 3680, Allen, OK 74825-6948 | 2015-09-04 |
| 1366529034 | Allen Neighborhood Pharmacy Inc | Pharmacy | 200 E Lexington, 200 East Lexington, Allen, OK 74825-9224 | 2006-11-01 |
| 1194287086 | Tri-county Primary Care LLC | Family Medicine | 200 N Easton, Allen, OK 74825-9713 | 2019-04-01 |
| Find all providers in zip 74825 | ||||
| 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 | ||||
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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.