ARBUCKLE MEMORIAL HOSPITAL
NPI 1821972076
Clinic/Center - Rural Health in Davis, OK
About Arbuckle Memorial Hospital NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ARBUCKLE MEMORIAL HOSPITAL (NPI 1821972076), doing business as Arbuckle Family Clinic At Davis, is a healthcare organization registered as a rural health in Davis, Oklahoma and active in the NPI registry since August 2025. The organization lists Jeremy Jones, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
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)
Arbuckle Memorial Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 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.
Clinicians Billing Medicare Through This Organization
20Medicare enrollment records show 20 clinicians reassign Medicare billing to Arbuckle Memorial Hospital, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (20)
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 Arbuckle Memorial Hospital's NPI number?
The NPI number for Arbuckle Memorial Hospital is 1821972076. It was assigned to this organization in the NPPES registry on August 1, 2025. The provider is doing business as Arbuckle Family Clinic at Davis.
Where is Arbuckle Memorial Hospital located?
Arbuckle Memorial Hospital is located at 109-C W. Main St, Davis, OK 73030. The listed phone number is (580) 622-8205.
What is Arbuckle Memorial Hospital's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Arbuckle Memorial Hospital enrolled in Medicare?
Yes. Arbuckle Memorial Hospital is registered in the Medicare PECOS enrollment system.
When is Arbuckle Memorial Hospital'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 January 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 Arbuckle Memorial Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 3 Medicare specialties reassign their Medicare billing to Arbuckle Memorial Hospital. 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 Emergency Medicine (8), Family Practice (7) and Nurse Practitioner (5). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Arbuckle Memorial Hospital accept?
Health plans from Blue Cross and Blue Shield of Oklahoma list Arbuckle 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 Arbuckle Memorial Hospital was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Arbuckle Memorial Hospital · NPI 1821972076
Rural Health organization in Davis, Oklahoma. Organization record, active in the CMS NPPES registry since August 1, 2025.
## Identity
- **NPI:** 1821972076 (Entity type: Organization)
- **Enumerated:** August 1, 2025
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Also known as:** Arbuckle Family Clinic at Davis (Doing Business As)
- **Organization subpart:** Yes (part of Arbuckle Memorial Hospital)
- **Authorized official:** Jeremy Jones, CEO
## Practice location
- **Address:** 109-C W. MAIN ST, Davis, OK 73030-1764
- **Phone:** (580) 622-8205 · **Fax:** (580) 203-3515
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Oklahoma, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 20 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (8), Family Practice (7), Nurse Practitioner (5) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1821972076) · Data from the CMS NPPES public registry.