| Mary Hurley Hospital | |
|
6 N Covington St Coalgate OK 74538-2002 | |
| (580) 927-2327 | |
| (580) 927-2432 |
| Full Name | Mary Hurley Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 6 N Covington St, Coalgate, Oklahoma |
| Authorized Official Name and Position | Trent A. Bourland (CEO) |
| Authorized Official Contact | 5809272327 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Hurley Hospital Po Box 326 Coalgate OK 74538-0326 Ph: (580) 927-2327 | Mary Hurley Hospital 6 N Covington St Coalgate OK 74538-2002 Ph: (580) 927-2327 |
| NPI Number | 1750459756 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 12/05/2022 |
| Medicare PECOS PAC ID | 8022901396 |
|---|---|
| Medicare Enrollment ID | O20041012000102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750459756 | NPI | - | NPPES |
| 100774650C | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2201 (Oklahoma) | Primary |
| Provider Name | Richard J Helton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972545820 PECOS PAC ID: 2769370113 Enrollment ID: I20040723000951 |
| Provider Name | Mary K Machado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942357215 PECOS PAC ID: 2163526518 Enrollment ID: I20070326000103 |
| Provider Name | Samuel Martin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467659953 PECOS PAC ID: 8729259973 Enrollment ID: I20110919000706 |
| Provider Name | Stephanie R Mowdy |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1316178262 PECOS PAC ID: 4789821760 Enrollment ID: I20130510000417 |
| Provider Name | Sara Marie Coffey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457508525 PECOS PAC ID: 4789828575 Enrollment ID: I20141027000689 |
| Provider Name | Jana D Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952751307 PECOS PAC ID: 9032491113 Enrollment ID: I20170125001343 |
| Provider Name | Alicia R Gosey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568910297 PECOS PAC ID: 7810253895 Enrollment ID: I20171107002413 |
| Provider Name | Kelly Jordan Dunn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477972495 PECOS PAC ID: 7113272816 Enrollment ID: I20180621000249 |
| Provider Name | Jodie H Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669031266 PECOS PAC ID: 3779810882 Enrollment ID: I20190813001246 |
| Provider Name | Chrissy M Lehew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184274052 PECOS PAC ID: 9032530241 Enrollment ID: I20200526001656 |
| Provider Name | Bret M Bullard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972766947 PECOS PAC ID: 3870619182 Enrollment ID: I20210611001999 |
| Provider Name | Ronda M Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770244675 PECOS PAC ID: 0042604928 Enrollment ID: I20220221000147 |
| Provider Name | Janet Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598384554 PECOS PAC ID: 4385014182 Enrollment ID: I20230111001884 |
| Provider Name | Ariahnna Lynne Croskey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023647302 PECOS PAC ID: 7719388354 Enrollment ID: I20230717002400 |
Family Health Center Of Southern Oklahoma Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 107 E Post Ave, Coalgate, OK 74538 Phone: 580-927-2828 Fax: 580-258-3000 | |
Helton Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 W Ohio Ave, Coalgate, OK 74538 Phone: 580-927-2334 Fax: 580-927-9941 | |
Richard J Helton Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 W Ohio Ave, Coalgate, OK 74538 Phone: 580-927-2334 Fax: 580-927-9941 | |
Helton Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 W Ohio Ave, Coalgate, OK 74538 Phone: 580-927-2334 Fax: 580-927-9941 | |
Helton Rural Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 108 W Ohio Ave, Coalgate, OK 74538 Phone: 580-927-2337 Fax: 580-927-9941 |