# CIMARRON MEMORIAL HOSPITAL AND NURSING HOME

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CIMARRON MEMORIAL HOSPITAL AND NURSING HOME
- **Other names:** Cimarron Memorial Hospital
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1164493904
- **Legal business name:** CIMARRON MEMORIAL HOSPITAL AND NURSING HOME
- **Authorized official:** JONATHAN GLEASON (CEO)
- **Authorized official phone:** (580) 589-0231

## Contact information

- **Practice address:** 100 S ELLIS, BOISE CITY, OK 73933-1059
- **Practice address phone:** (580) 544-2501
- **Practice address fax:** (580) 544-2517
- **Mailing address:** PO BOX 1059, BOISE CITY, OK 73933-1059
- **Mailing address phone:** (580) 544-2501
- **Mailing address fax:** (580) 544-2517

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/30/2006
- **Last updated:** 10/27/2022