GRADY MEMORIAL HOSPITAL NPI 1578592788

NPI Information

  • NPI: 1578592788
  • Provider Name: GRADY MEMORIAL HOSPITAL
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: RUSH SPRINGS FAMILY MEDICAL CLINIC
  • Address: 113 SOUTH RUSH AVE
    RUSH SPRINGS, OK
    ZIP 73082
  • Phone: (580) 476-2527

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NPI Details

GRADY MEMORIAL HOSPITAL is a rural health clinic center in Rush Springs, OK. GRADY MEMORIAL HOSPITAL NPI is 1578592788. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Rush Springs Family Medical Clinic.

The provider's business location address is:

113 SOUTH RUSH AVE
RUSH SPRINGS, OK
ZIP 73082-277
Phone: (580) 476-2527
Fax: (580) 476-3707

The provider's authorized official is Warren Kean Spellman .
The authorized official title is Ceo and has the following contact phone number (405) 779-2150.

The enumeration date for this NPI number is 7/1/2006 and was last updated on 4/11/2016.

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
1207Q00000XFamily MedicineNo
2261QR1300XClinic/CenterRural HealthYes

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
1373449MEDICARE OSCAR/CERTIFICATIONOKLAHOMA
2OKA102255MEDICARE PINOKLAHOMA
3100700820GMEDICAIDOKLAHOMA

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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