ARBUCKLE MEMORIAL HOSPITAL
NPI 1821972076
Clinic/Center - Rural Health in Davis, OK

NPI Status: Active since August 01, 2025

Contact Information

109-C W. MAIN ST
DAVIS, OK
ZIP 73030
Phone: (580) 622-8205
Fax: (580) 203-3515

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  • Organization
  • Clinic/Center
  • Rural Health
  • CLIA Number: 37D2329068
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 08-20-2027

About ARBUCKLE MEMORIAL HOSPITAL

This page provides the complete NPI Profile along with additional information for Arbuckle Memorial Hospital, a primary care provider established in Davis, Oklahoma operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1821972076 assigned on August 2025. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Jeremy Jones (Ceo)

NPI
1821972076
Provider Legal Name
ARBUCKLE MEMORIAL HOSPITAL
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
109-C W. MAIN ST DAVIS, OK 73030
Location Phone
(580) 622-8205
Location Fax
(580) 203-3515
Mailing Address
PO BOX 1109 SULPHUR, OK 73086
Mailing Phone
(580) 622-8205
Mailing Fax
(580) 203-3515
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-01-2025
Last Update Date
09-12-2025
Code Navigator

A primary care provider (PCP) like Arbuckle Memorial Hospital sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEREMY JONES

Authorized Official Title
CEO
Authorized Official Phone
(580) 622-8200

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
37D2329068
Facility Type
Rural Health Clinic
Certificate Effective Date
August 21, 2025
Certificate Expiration Date
August 20, 2027
Laboratory Director
GEORGE W. RUSSELL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Arbuckle Memorial Hospital to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1821972076, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
2
Doubled → 4
Pos 4
1
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
2
Doubled → 4
Pos 8
0
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 9 → 18 → 9 2 → 4 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 4 + 1 + 1 + 8 + 7 + 4 + 0 + 1 + 4 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1821972076.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821972076, enumerated as an "organization" on August 01, 2025.

The provider is located at 109-C W. MAIN ST DAVIS, OK 73030 and the phone number is (580) 622-8205.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.