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GRADY MEMORIAL HOSPITAL
NPI 1164859260
Clinic/Center - Rural Health in Chickasha, OK

Active since October 03, 2013
2100 W IOWA AVE, SUITE A, CHICKASHA, OK 73018(405) 224-2100(405) 779-2346 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 29, 2026, Jan 6, 2026 (2 updates tracked since 2026).

About Grady Memorial Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRADY MEMORIAL HOSPITAL (NPI 1164859260), doing business as Five Oaks Family Medical Clinic, is a healthcare organization registered as a rural health in Chickasha, Oklahoma and active in the NPI registry since October 2013. The organization lists Steve Pautler, Ceo, as its authorized official.

NPPES Registry Identity

NPI1164859260
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameGRADY MEMORIAL HOSPITAL
Location Address2100 W IOWA AVE, SUITE AChickasha, OK 73018-2736
Mailing Address2100 W Iowa Ave Ste AChickasha, OK 73018-2736 · (405) 224-2100 · Fax (405) 779-2346
Phone(405) 224-2100
Fax(405) 779-2346
Organization SubpartNo
Authorized OfficialSteve PautlerCeo · (405) 779-2150
Enumeration DateOctober 3, 2013
Last NPPES UpdateApril 29, 20262 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
✔ NPI 1164859260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
2100 W IOWA AVE, Chickasha, OK 73018
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Other Names 1

Doing Business AsFive Oaks Family Medical Clinic

Other Identifiers 1

Medicaid100700820 KOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEVIN ANDERSON D.O.
Family Medicine
2100 W IOWA AVE, SUITE A
CHICKASHA, OK 73018
Grady County (405) 224-2100
ROBERT T BUCHANAN MD
Surgery
2100 W IOWA AVE
CHICKASHA, OK 73018
Grady County (405) 224-2100
JERRUS HARRIS FNP-C
Nurse Practitioner (Family)
2100 W IOWA AVE, SUITE A
CHICKASHA, OK 73018
Grady County (405) 224-2100
DR. THOMAS LEE WICKS DPM
Podiatrist
2100 W IOWA AVE
CHICKASHA, OK 73018
Grady County (405) 224-2100
DIADRA LORSEH PA-C
Physician Assistant
2100 W IOWA AVE
CHICKASHA, OK 73018
Grady County (405) 224-2100
MS. DEVON JESSICA MUNCY PA-C
Physician Assistant
2100 W IOWA AVE
CHICKASHA, OK 73018
Grady County (405) 224-2100
ANUPAMA BEKKEM M.D.
Internal Medicine
2100 W IOWA AVE
CHICKASHA, OK 73018
Grady County (405) 224-2100
DR. JOHN EDWARD PRESLEY M.D.
Surgery
2100 W IOWA AVE
CHICKASHA, OK 73018
Grady County (405) 224-2100

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 Grady Memorial Hospital's NPI number?

The NPI number for Grady Memorial Hospital is 1164859260. It was assigned to this organization in the NPPES registry on October 3, 2013. The provider is doing business as Five Oaks Family Medical Clinic.

Where is Grady Memorial Hospital located?

Grady Memorial Hospital is located at 2100 W Iowa Ave Suite A, Chickasha, OK 73018. The listed phone number is (405) 224-2100.

What is Grady Memorial Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

What insurance does Grady Memorial Hospital accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Medica list Grady Memorial Hospital 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 Grady Memorial Hospital was last updated on April 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.