Organization
CIMARRON MEMORIAL HOSPITAL AND NURSING HOME
Active
Parent organization
CIMARRON MEMORIAL HOSPITAL AND NURSING HOME
Other names
Cimarron Memorial Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
CIMARRON MEMORIAL HOSPITAL AND NURSING HOME
Authorized official
JONATHAN GLEASON (CEO)
(580) 589-0231
Entity
Organization
Contact information
Practice address
100 S ELLIS, BOISE CITY, OK 73933-1059
(580) 544-2501
(580) 544-2517
Mailing address
PO BOX 1059, BOISE CITY, OK 73933-1059
(580) 544-2501
(580) 544-2517
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000370146001
BCBS
—
Enumeration date
01/30/2006
Last updated
10/27/2022
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