ALVA HOSPITAL AUTHORITY/DBA SHARE MEDICAL CENTER
NPI 1104410125
Clinic/Center in Waynoka, OK
About Alva Hospital Authority/dba Share Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALVA HOSPITAL AUTHORITY/DBA SHARE MEDICAL CENTER (NPI 1104410125) is a healthcare organization registered as a clinic/center in Waynoka, Oklahoma and active in the NPI registry since February 2021. The organization lists Kandice Allen, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Alva Hospital Authority/dba Share Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
23Medicare enrollment records show 23 clinicians reassign Medicare billing to Alva Hospital Authority/Dba Share Medical Center, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 11
Nearest to this location (20)
See all 23Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Alva Hospital Authority/Dba Share Medical Center's NPI number?
The NPI number for Alva Hospital Authority/Dba Share Medical Center is 1104410125. It was assigned to this organization in the NPPES registry on February 22, 2021. The provider is also known as Smc Medical Clinic.
Where is Alva Hospital Authority/Dba Share Medical Center located?
Alva Hospital Authority/Dba Share Medical Center is located at 1630 Santa Fe St, Waynoka, OK 73860. The listed phone number is (580) 327-2800.
What is Alva Hospital Authority/Dba Share Medical Center's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Alva Hospital Authority/Dba Share Medical Center enrolled in Medicare?
Yes. Alva Hospital Authority/Dba Share Medical Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Alva Hospital Authority/Dba Share Medical Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians in 11 Medicare specialties reassign their Medicare billing to Alva Hospital Authority/Dba Share Medical Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (8), Nurse Practitioner (6) and Certified Nurse Midwife (CNM) (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Alva Hospital Authority/Dba Share Medical Center was last updated on February 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Alva Hospital Authority/dba Share Medical Center · NPI 1104410125
Clinic/Center organization in Waynoka, Oklahoma. Organization record, active in the CMS NPPES registry since February 22, 2021.
## Identity
- **NPI:** 1104410125 (Entity type: Organization)
- **Enumerated:** February 22, 2021
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Also known as:** SMC MEDICAL CLINIC (Other Name)
- **Organization subpart:** Yes (part of Alva Hospital Authority/dba Share Medical Center)
- **Authorized official:** Kandice Allen, CEO
## Practice location
- **Address:** 1630 SANTA FE ST, Waynoka, OK 73860-3946
- **Phone:** (580) 327-2800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 23 clinicians in 11 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (8), Nurse Practitioner (6), Certified Nurse Midwife (CNM) (1); [full list](https://npiprofile.com/npi/1104410125/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 22, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1104410125) · Data from the CMS NPPES public registry.