ALLIANCEHEALTH PONCA CITY – NPI #1922790666
Clinic/Center

ALLIANCEHEALTH PONCA CITY is an AHC clinic located in PONCA CITY, OK. NPPES has assigned the NPI number 1922790666 to ALLIANCEHEALTH PONCA CITY on May 22, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ALLIANCEHEALTH PONCA CITY” is a dba name, the actual legal business name for this organization is KAY COUNTY OKLAHOMA HOSPITAL COMPANY LLC. The primary taxonomy selected by this provider is 261QR0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Radiology

The NPI profile was previously updated about 3 years ago on May 23, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ALLIANCEHEALTH PONCA CITY below.

NPI Profile for
KAY COUNTY OKLAHOMA HOSPITAL COMPANY LLC

NPI Number
1922790666
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KAY COUNTY OKLAHOMA HOSPITAL COMPANY LLC
Doing Business As (dba): ALLIANCEHEALTH PONCA CITY
Primary location
1900 N 14TH ST
PONCA CITY, OK 74601-2035
Phone: (580) 715-4581 Fax:
Mailing address
PO BOX 689022
FRANKLIN, TN 37068-9022
Phone: Fax:
Organization Subpart
No
Authorized Official
JENNIFER JACKSON
SENIOR DIRECTOR PROVIDER ENROLLMENT
Phone: (615) 465-3334
Updated
Certification Date
May 23, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR0200X
- Clinic/Center / Radiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.