| Cimarron Memorial Hospital And Nursing Home | |
|
100 S Ellis Boise City OK 73933-1059 | |
| (580) 544-2501 | |
| (580) 544-2517 |
| Full Name | Cimarron Memorial Hospital And Nursing Home |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 S Ellis, Boise City, Oklahoma |
| Authorized Official Name and Position | Jonathan Gleason (CEO) |
| Authorized Official Contact | 5805890231 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cimarron Memorial Hospital And Nursing Home Po Box 1059 Boise City OK 73933-1059 Ph: (580) 544-2501 | Cimarron Memorial Hospital And Nursing Home 100 S Ellis Boise City OK 73933-1059 Ph: (580) 544-2501 |
| NPI Number | 1164493904 |
|---|---|
| Provider Enumeration Date | 01/30/2006 |
| Last Update Date | 10/27/2022 |
| Certification Date | 10/25/2022 |
| Medicare PECOS PAC ID | 5698686517 |
|---|---|
| Medicare Enrollment ID | O20031216000160 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164493904 | NPI | - | NPPES |
| 000370146001 | Other | BCBS |
| Provider Name | Sergio G Demier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558422337 PECOS PAC ID: 4587620802 Enrollment ID: I20041208000087 |
| Provider Name | Roger A Hess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871777987 PECOS PAC ID: 0941387575 Enrollment ID: I20080408000068 |
| Provider Name | Lori A Harriman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982905600 PECOS PAC ID: 0446398689 Enrollment ID: I20120113000096 |
| Provider Name | Lindsey J Butt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114650348 PECOS PAC ID: 7315320272 Enrollment ID: I20220810002676 |
| Provider Name | Kaycie R Gilbreath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386370500 PECOS PAC ID: 3678957065 Enrollment ID: I20220902001705 |
Hopeful Oasis Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 N. Freeman Ave, Boise City, OK 73933 Phone: 405-548-5778 |