Cimarron Memorial Hospital | |
100 S Ellis Boise City OK 73933-1059 | |
(580) 544-2501 | |
(580) 544-2517 |
Full Name | Cimarron Memorial Hospital |
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Speciality | Clinic/Center |
Location | 100 S Ellis, Boise City, Oklahoma |
Authorized Official Name and Position | Jonathan Gleason (CEO) |
Authorized Official Contact | 5805890231 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cimarron Memorial Hospital Po Box 1059 Boise City OK 73933-1059 Ph: (580) 544-2501 | Cimarron Memorial Hospital 100 S Ellis Boise City OK 73933-1059 Ph: (580) 544-2501 |
NPI Number | 1164493904 |
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Provider Enumeration Date | 01/30/2006 |
Last Update Date | 10/27/2022 |
Certification Date | 10/25/2022 |
Medicare PECOS PAC ID | 5698686517 |
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Medicare Enrollment ID | O20031216000160 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164493904 | NPI | - | NPPES |
000370146001 | Other | BCBS |
Provider Name | Sergio G Demier |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558422337 PECOS PAC ID: 4587620802 Enrollment ID: I20041208000087 |
Provider Name | Roger A Hess |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871777987 PECOS PAC ID: 0941387575 Enrollment ID: I20080408000068 |
Provider Name | Lori A Harriman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982905600 PECOS PAC ID: 0446398689 Enrollment ID: I20120113000096 |
Provider Name | Breck Dean Burkhart |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1689185647 PECOS PAC ID: 4587921796 Enrollment ID: I20171127000766 |
Provider Name | Lindsey J Butt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114650348 PECOS PAC ID: 7315320272 Enrollment ID: I20220810002676 |
Provider Name | Jessica D Walker |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1245580323 PECOS PAC ID: 2062895584 Enrollment ID: I20220817000116 |
Provider Name | Kaycie R Gilbreath |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386370500 PECOS PAC ID: 3678957065 Enrollment ID: I20220902001705 |
Hopeful Oasis Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 N. Freeman Ave, Boise City, OK 73933 Phone: 405-548-5778 |