CIMARRON MEMORIAL HOSPITAL
NPI 1164493904
Clinic/Center - Rural Health in Boise City, OK
About Cimarron Memorial Hospital NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CIMARRON MEMORIAL HOSPITAL (NPI 1164493904) is a healthcare organization registered as a rural health in Boise City, Oklahoma and active in the NPI registry since January 2006. The organization maintains a secondary practice location in Boise City and lists Jonathan Gleason, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 6
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cimarron Memorial Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Cimarron Memorial Hospital, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
Source: 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 Cimarron Memorial Hospital And Nursing Home's NPI number?
The NPI number for Cimarron Memorial Hospital And Nursing Home is 1164493904. It was assigned to this organization in the NPPES registry on January 30, 2006. The provider is doing business as Cimarron Memorial Hospital.
Where is Cimarron Memorial Hospital And Nursing Home located?
Cimarron Memorial Hospital And Nursing Home is located at 100 S Ellis, Boise City, OK 73933. The listed phone number is (580) 544-2501.
What is Cimarron Memorial Hospital And Nursing Home's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Cimarron Memorial Hospital And Nursing Home enrolled in Medicare?
Yes. Cimarron Memorial Hospital And Nursing Home is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cimarron Memorial Hospital And Nursing Home?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Cimarron Memorial Hospital And Nursing Home. 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 Nurse Practitioner (3), Family Practice (1) and Internal Medicine (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Cimarron Memorial Hospital And Nursing Home accept?
Health plans from Blue Cross and Blue Shield of Oklahoma list Cimarron Memorial Hospital And Nursing Home as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Cimarron Memorial Hospital And Nursing Home was last updated on October 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Cimarron Memorial Hospital · NPI 1164493904
Rural Health organization in Boise City, Oklahoma. Organization record, active in the CMS NPPES registry since January 30, 2006.
## Identity
- **NPI:** 1164493904 (Entity type: Organization)
- **Enumerated:** January 30, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Cimarron Memorial Hospital And Nursing Home
- **Organization subpart:** Yes (part of Cimarron Memorial Hospital And Nursing Home)
- **Authorized official:** Jonathan Gleason, CEO
## Practice location
- **Address:** 100 S ELLIS, Boise City, OK 73933-1059
- **Phone:** (580) 544-2501 · **Fax:** (580) 544-2517
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Family Practice (1), Internal Medicine (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 27, 2022
- **Other identifiers:** Other 000370146001
---
Source: [NPI Profile](https://npiprofile.com/npi/1164493904) · Data from the CMS NPPES public registry.