Organization
CIMARRON MEMORIAL HOSPITAL AND NURSING HOME
Active
Organization
CIMARRON MEMORIAL HOSPITAL AND NURSING HOME
Active
Parent organization
CIMARRON MEMORIAL HOSPITAL
Other names
Cimarron Memorial Hospital Swing Bed
Organization subpart
Yes
Provider details
NPI number
Legal business name
CIMARRON MEMORIAL HOSPITAL
Authorized official
JONATHAN W 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
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
OK
282NC0060X
Critical Access Hospital
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000370146001
BCBS
—
05
—
100700740A
—
OK
Enumeration date
01/25/2006
Last updated
08/09/2023
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