BEAVER COUNTY MEMORIAL HOSPITAL NPI 1013195684

NPI Information

  • NPI: 1013195684
  • Provider Name: BEAVER COUNTY MEMORIAL HOSPITAL
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Doing Business As: COMMUNITY PHARMACY
  • CLIA Number: 37D0879813
  • Address: 212 EAST 8TH STREET
    BEAVER, OK
    ZIP 73932
  • Phone: (580) 625-3646

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NPI Details

BEAVER COUNTY MEMORIAL HOSPITAL is a durable medical equipment medical supplies in Beaver, OK. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. BEAVER COUNTY MEMORIAL HOSPITAL NPI is 1013195684. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Pharmacy.

The provider's business location address is:

212 EAST 8TH STREET
BEAVER, OK
ZIP 73932
Phone: (580) 625-3646
Fax: (580) 625-3844

The provider's authorized official is Alissa Schlessman .
The authorized official title is Administrator and has the following contact phone number (580) 625-4551.

The CLIA number assigned to this NPI record is 37D0879813 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)

The enumeration date for this NPI number is 2/6/2008 and was last updated on 2/14/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical Supplies693029OKLAHOMAYes
2332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition693029OKLAHOMANo
3332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies693029OKLAHOMANo
43336C0003XPharmacyCommunity/Retail Pharmacy693029OKLAHOMANo
53336I0012XPharmacyInstitutional Pharmacy693029OKLAHOMANo
63336L0003XPharmacyLong Term Care PharmacyNo
73336L0003XPharmacyLong Term Care Pharmacy693029OKLAHOMANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100700760CMEDICAIDOKLAHOMA
290003921830MEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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