Provider Demographics
NPI:1134128499
Name:HARPER COUNTY COMMUNITY HOSPITAL
Entity Type:Organization
Organization Name:HARPER COUNTY COMMUNITY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACTING ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:A
Authorized Official - Last Name:IVES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-735-2555
Mailing Address - Street 1:1003 HIGHWAY 64 N
Mailing Address - Street 2:PO BOX 60
Mailing Address - City:BUFFALO
Mailing Address - State:OK
Mailing Address - Zip Code:73834
Mailing Address - Country:US
Mailing Address - Phone:580-735-2555
Mailing Address - Fax:580-735-2342
Practice Address - Street 1:1003 HIGHWAY 64 N
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:OK
Practice Address - Zip Code:73834
Practice Address - Country:US
Practice Address - Phone:580-735-2555
Practice Address - Fax:580-735-2555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100699660AMedicaid
OK100708000AMedicaid
OK371324Medicare PIN
OK100708000AMedicaid
OK500522044Medicare ID - Type UnspecifiedGROUP
OK371324Medicare ID - Type Unspecified
OK37Z324Medicare ID - Type Unspecified
37Z324Medicare PIN