# CIMARRON MEMORIAL HOSPITAL AND NURSING HOME

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CIMARRON MEMORIAL HOSPITAL
- **Other names:** Cimarron Rural Health Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1679543581
- **Legal business name:** CIMARRON MEMORIAL HOSPITAL
- **Authorized official:** JONATHAN W GLEASON (CEO)
- **Authorized official phone:** (580) 589-0231

## Contact information

- **Practice address:** 102 SOUTH ELLIS, BOISE CITY, OK 73933-1059
- **Practice address phone:** (580) 544-3008
- **Practice address fax:** (580) 544-3066
- **Mailing address:** 102 S ELLIS, BOISE CITY, OK 73933-1059
- **Mailing address phone:** (580) 544-2501
- **Mailing address fax:** (580) 544-2501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 2254 | OK | Yes |

## Other

- **Enumeration date:** 01/24/2006
- **Last updated:** 06/29/2023