CIMARRON MEMORIAL HOSPITAL
NPI 1073584819
General Acute Care Hospital - Critical Access in Boise City, OK
NPI Status: Active since January 30, 2006
Contact Information
100 S ELLIS
BOISE CITY, OK
ZIP 73933
Phone: (580) 544-2501
Fax: (580) 544-2517
- Organization
- General Acute Care Hospital
- Critical Access
- Accepts Insurance
- CLIA Number: 37D0472805
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 05-18-2027
About CIMARRON MEMORIAL HOSPITAL
This page provides the complete NPI Profile along with additional information for Cimarron Memorial Hospital, a provider established in Boise City, Oklahoma operating as a General Acute Care Hospital, focusing in critical access . The healthcare provider is registered in the NPI registry with number 1073584819 assigned on January 2006. The practitioner's primary taxonomy code is 282NC0060X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Cimarron Memorial Hospital. The authorized official of this NPI record is Jonathan W Gleason (Ceo)
- NPI
- 1073584819
- Provider Legal Name
- CIMARRON MEMORIAL HOSPITAL AND NURSING HOME
- Other Organization Name
- CIMARRON MEMORIAL HOSPITAL
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 100 S ELLIS BOISE CITY, OK 73933
- Location Phone
- (580) 544-2501
- Location Fax
- (580) 544-2517
- Mailing Address
- PO BOX 1059 BOISE CITY, OK 73933
- Mailing Phone
- (580) 544-2501
- Mailing Fax
- (580) 544-2517
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-30-2006
- Last Update Date
- 06-29-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Acute Care Hospital Critical Access
- Taxonomy Code
- 282NC0060X
- Type
- Hospitals
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze PPO? 202 - PPO
- Blue Advantage Bronze PPO? 203 - PPO
- Blue Advantage Bronze PPO? Standard - PPO
- Blue Advantage Gold PPO? 309 - PPO
- Blue Advantage Gold PPO? 604 - PPO
- Blue Advantage Gold PPO? Standard - PPO
- Blue Advantage Silver PPO? 204 - PPO
- Blue Advantage Silver PPO? 501 - PPO
- Blue Advantage Silver PPO? Standard - PPO
- Blue Preferred Bronze PPO? Standard - PPO
- Blue Preferred Gold PPO? Standard - PPO
- Blue Preferred Security PPO? 200 - PPO
- Blue Preferred Silver PPO? Standard - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000370146001 | OTHER (01) | BCBS | |
| 100700740A | MEDICAID (05) | OK |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 37D0472805
- Facility Type
- Hospital
- Certificate Effective Date
- May 19, 2025
- Certificate Expiration Date
- May 18, 2027
- Laboratory Director
- LYLE J. NOORDHOEK
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Cimarron Memorial Hospital after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1073584819, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
BOISE CITY, OK 73933
BOISE CITY, OK 73933
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073584819, enumerated as an "organization" on January 30, 2006.
The provider is located at 100 S ELLIS BOISE CITY, OK 73933 and the phone number is (580) 544-2501.
General Acute Care Hospital with taxonomy code 282NC0060X and a focus in Critical Access.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma, Blue Cross. Please consult your insurance carrier or call the provider to verify.
