LEFLORE COUNTY HOSPITAL AUTHORITY
NPI 1487373577
Nurse Practitioner - Acute Care in Poteau, OK

Active since August 23, 2022
105 WALL ST, POTEAU, OK 74953(918) 635-3100(918) 635-3418 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 8, 2025, Aug 23, 2022 (2 updates tracked since 2022).

About Leflore County Hospital Authority NPPES

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

LEFLORE COUNTY HOSPITAL AUTHORITY (NPI 1487373577), doing business as Eastern Oklahoma Medical Center Professional, is a healthcare organization registered as an acute care in Poteau, Oklahoma and active in the NPI registry since August 2022. The organization lists Tiffany B Griffis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1487373577
Entity TypeOrganization
Primary Taxonomy363LA2100X
Legal Business NameLEFLORE COUNTY HOSPITAL AUTHORITY
Location Address105 WALL STPoteau, OK 74953-4433
Mailing Address105 Wall StPoteau, OK 74953-4433 · (918) 635-3566 · Fax (918) 635-3568
Fax(918) 635-3418
Organization SubpartYes
Authorized OfficialTiffany B GriffisCeo · (918) 635-3441
Enumeration DateAugust 23, 2022
Last NPPES UpdateMay 8, 20252 updates tracked since enumeration
NPPES CertifiedMay 8, 2025
✔ NPI 1487373577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X
105 WALL ST, Poteau, OK 74953

Other Names 1

Doing Business AsEastern Oklahoma Medical Center Professional

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leflore County Hospital Authority is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOklahomaEnrollment IDO20060804000192Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

26

Medicare enrollment records show 26 clinicians reassign Medicare billing to Leflore County Hospital Authority, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 12 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Nurse Practitioner11
Family Practice6
Cardiovascular Disease (Cardiology)5
Internal Medicine2
General Surgery1
Qualified Speech Language Pathologist1

Nearest to this location (20)

See all 26
Family Practice
NPI 1043960891
105 WALL ST
Poteau, OK 74953
(918) 635-3100
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1154628113
105 WALL ST
Poteau, OK 74953
(918) 635-3591
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1346993441
105 WALL ST
Poteau, OK 74953
(918) 647-8161
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1639874662
105 WALL STREET
Poteau, OK 74953
(918) 635-3576
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1952341562
104 WALL ST
Poteau, OK 74953
(918) 635-3508
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1285317735
104 WALL ST
Poteau, OK 74953
(918) 635-3508
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1992843809
104 WALL ST
Poteau, OK 74953
(918) 635-3545
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1376182816
204 WALL ST STE A
Poteau, OK 74953
(918) 647-2155
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1699215228
1013 DEWEY AVE
Poteau, OK 74953
(918) 647-2929
✔ PECOS0.2 mi
Family Practice
NPI 1336102532
1013 DEWEY AVE
Poteau, OK 74953
(918) 647-2929
✔ PECOS0.3 mi
Nurse Practitioner
NPI 1396248381
307 N BROADWAY ST
Poteau, OK 74953
(918) 647-2349
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1700361490
508 N BROADWAY ST
Poteau, OK 74953
(918) 721-0290
✔ PECOS✔ Accepts Medicare1.0 mi
Nurse Practitioner
NPI 1982948287
304 HIGHWAY 59 N
Heavener, OK 74937
(918) 653-2918
✔ PECOS✔ Accepts Medicare11 mi
Family Practice
NPI 1366434680
205 E RAY FINE BLVD
Roland, OK 74954
(918) 503-6235
✔ PECOS✔ Accepts Medicare26 mi
Nurse Practitioner
NPI 1952757254
4620 ROGERS AVE STE 101
Fort Smith, AR 72903
(479) 384-5380
✔ PECOS✔ Accepts Medicare26 mi
Internal Medicine
NPI 1154776409
7301 ROGERS AVE
Fort Smith, AR 72903
(479) 314-5175
✔ PECOS✔ Accepts Medicare26 mi
Nurse Practitioner
NPI 1972959625
1501 S WALDRON RD STE 202
Fort Smith, AR 72903
(479) 755-6900
✔ PECOS✔ Accepts Medicare26 mi
Qualified Speech Language Pathologist
NPI 1427289131
3210 OSPREY CIR
Alma, AR 72921
(417) 592-1123
✔ Accepts Medicare40 mi
General Surgery
NPI 1699743831
101 SKYLINE DR
Russellville, AR 72801
(479) 968-2345
✔ PECOS✔ Accepts Medicare84 mi
Cardiovascular Disease (Cardiology)
NPI 1669770145
2100 S UTICA AVE STE 202
Tulsa, OK 74114
(918) 932-3836
✔ PECOS✔ Accepts Medicare107 mi
See all 26 clinicians

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 Leflore County Hospital Authority's NPI number?

The NPI number for Leflore County Hospital Authority is 1487373577. It was assigned to this organization in the NPPES registry on August 23, 2022. The provider is doing business as Eastern Oklahoma Medical Center Professional.

Where is Leflore County Hospital Authority located?

Leflore County Hospital Authority is located at 105 Wall St, Poteau, OK 74953. The listed phone number is (918) 635-3100.

What is Leflore County Hospital Authority's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Leflore County Hospital Authority enrolled in Medicare?

Yes. Leflore County Hospital Authority is registered in the Medicare PECOS enrollment system.

When is Leflore County Hospital Authority's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oklahoma, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Leflore County Hospital Authority?

According to the CMS Revalidation Reassignment List (October 2026 release), 26 clinicians in 6 Medicare specialties reassign their Medicare billing to Leflore County Hospital Authority. 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 (11), Family Practice (6) and Cardiovascular Disease (Cardiology) (5). Of these, 7 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Leflore County Hospital Authority was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.