Provider Demographics
NPI:1447259791
Name:HARPER COUNTY COMMUNITY HOSPITAL
Entity type:Organization
Organization Name:HARPER COUNTY COMMUNITY HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:OBRIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-735-2555
Mailing Address - Street 1:PO BOX 987
Mailing Address - Street 2:7TH & OKLAHOMA SUITE 5
Mailing Address - City:LAVERNE
Mailing Address - State:OK
Mailing Address - Zip Code:73848
Mailing Address - Country:US
Mailing Address - Phone:877-819-9911
Mailing Address - Fax:580-921-5892
Practice Address - Street 1:7TH & OKLAHOMA STE 5
Practice Address - Street 2:
Practice Address - City:LAVERNE
Practice Address - State:OK
Practice Address - Zip Code:73848-0987
Practice Address - Country:US
Practice Address - Phone:877-819-9911
Practice Address - Fax:580-921-5892
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
OK282NR1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NR1301XHospitalsGeneral Acute Care HospitalRural
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100699660CMedicaid
OK100699660CMedicaid
700522057Medicare PIN