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WAGONER HOSPITAL AUTHORITY
NPI 1366674772
Clinic/Center - Rural Health in Wagoner, OK

Active since August 18, 2009
1202 W CHEROKEE ST STE E, WAGONER, OK 74467(918) 485-1877(918) 485-0535 Get Directions Write a Review

NPPES record last updated: April 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 27, 2021, Mar 9, 2018 (2 updates tracked since 2018).

About Wagoner Hospital Authority NPPES

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

WAGONER HOSPITAL AUTHORITY (NPI 1366674772) is a healthcare organization registered as a rural health in Wagoner, Oklahoma and active in the NPI registry since August 2009. The organization maintains a secondary practice location in Muskogee and lists Judith Elizabeth Brown, Business Operations Director, as its authorized official.

NPPES Registry Identity

NPI1366674772
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameWAGONER HOSPITAL AUTHORITY
Location Address1202 W CHEROKEE ST STE EWagoner, OK 74467-4629
Mailing Address1200 W Cherokee StWagoner, OK 74467-4624 · (918) 485-5514 · Fax (918) 485-9701
Phone(918) 485-1877
Fax(918) 485-0535
Organization SubpartYes
Authorized OfficialJudith Elizabeth BrownBusiness Operations Director · (918) 485-1297
Enumeration DateAugust 18, 2009
Last NPPES UpdateApril 27, 20212 updates tracked since enumeration
NPPES CertifiedApril 27, 2021
✔ NPI 1366674772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X · License 2298 (OK)
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License 2298 (OK)
1202 W CHEROKEE ST STE E, Wagoner, OK 74467
Open in Google Maps ↗

Secondary Practice Location 1

Location 13501 W Broadway StMuskogee, OK 74401-2138 · Phone (918) 913-9408 · Fax (918) 485-9701

Other Identifiers 4

Medicaid200100890AOK
Medicaid200100890COK
Other300522264OK · Medicare Part B Group #
Other200100890BOK · Medicaid Hospital Billing #

Other Providers at the Same Location NPPES 2

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

CASEY HANNA MD PROFESSIONAL CORPORATION
Family Medicine
1202 W CHEROKEE ST STE E
WAGONER, OK 74467
Wagoner County (918) 485-5188
TAYLOR RENEE RUSSELL
Nurse Practitioner (Family)
1202 W CHEROKEE ST STE E
WAGONER, OK 74467
Wagoner County (918) 485-1877

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 Wagoner Hospital Authority's NPI number?

The NPI number for Wagoner Hospital Authority is 1366674772. It was assigned to this organization in the NPPES registry on August 18, 2009.

Where is Wagoner Hospital Authority located?

Wagoner Hospital Authority is located at 1202 W Cherokee St Ste E, Wagoner, OK 74467. The listed phone number is (918) 485-1877.

What is Wagoner Hospital Authority's specialty?

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

When was this NPI record last updated?

The NPPES record for Wagoner Hospital Authority was last updated on April 27, 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.