CLEVELAND AREA HOSPITAL PROFESSIONAL SERVICES – NPI #1801020565
Emergency Medicine

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

CLEVELAND AREA HOSPITAL PROFESSIONAL SERVICES is a provider located in CLEVELAND, OK. NPPES has assigned the NPI number 1801020565 to CLEVELAND AREA HOSPITAL PROFESSIONAL SERVICES on May 11, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CLEVELAND AREA HOSPITAL PROFESSIONAL SERVICES” is a dba name, the actual legal business name for this organization is CLEVELAND AREA HOSPITAL HOLDINGS, INC.. The primary taxonomy selected by this provider is 207PE0004X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine, specializing in Emergency Medical Services

The NPI profile was previously updated about 6 years ago on Sep 27, 2020. 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 CLEVELAND AREA HOSPITAL PROFESSIONAL SERVICES below.

NPI Profile for
CLEVELAND AREA HOSPITAL HOLDINGS, INC.

NPI Number
1801020565
Enumeration Date

(more than 17 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
CLEVELAND AREA HOSPITAL HOLDINGS, INC.
Doing Business As (dba): CLEVELAND AREA HOSPITAL PROFESSIONAL SERVICES
Primary location
1401 WEST PAWNEE
CLEVELAND, OK 74020
Phone: (918) 358-2501 Fax: (918) 358-9274
Mailing address
1401 WEST PAWNEE STRETT
CLEVELAND, OK 74020-3033
Phone: (918) 358-2501 Fax: (918) 358-9274
Organization Subpart
No
Authorized Official
EDRED BENTON
CEO
Phone: (918) 358-5647
Updated
Certification Date
Sep 27, 2020

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
207PE0004X
- Emergency Medicine / Emergency Medical Services (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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
MELVA BOSTIK
Content Type
Affiliation
N
Endpoint Location
1401 WEST PAWNEE,
CLEVELAND, OK 77025-1669

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
TIFFANI CZAPANSKY
Content Type
Affiliation
N
Endpoint Location
1401 WEST PAWNEE,
CLEVELAND, OK 77025-1669

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
CASE MANAGEMENT
Content Type
Affiliation
N
Endpoint Location
1401 WEST PAWNEE,
CLEVELAND, OK 77025-1669

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
CARE AWARE
Content Type
Affiliation
N
Endpoint Location
1401 WEST PAWNEE,
CLEVELAND, OK 77025-1669

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
HIM
Content Type
Affiliation
N
Endpoint Location
1401 WEST PAWNEE,
CLEVELAND, OK 77025-1669