Wagoner Hospital Authority
NPI 1366674772 · Rural Health Clinic/Center · Wagoner, OK
Enrolled with Medicare as Part a Provider - Rural Health Clinic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wagoner Hospital Authority is a Rural Health Clinic/Center organization in Wagoner, OK (NPI 1366674772).
Provider details
- NPI number
- 1366674772
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Wagoner Hospital Authority
- Organization subpart
- Yes
- Authorized official
- Judith Brown, Business Operations Director(918) 485-1297
- License
- 2298 (OK)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Hospitals
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 3501 W Broadway StMuskogee, OK 74401-2138Phone: (918) 913-9408Fax: (918) 485-9701
Registry dates
- Enumerated
- 2009-08-18
- Last updated
- 2021-04-27
- Certified
- 2021-04-27
Frequently asked questions
- What is Wagoner Hospital Authority's NPI number?
- Wagoner Hospital Authority's National Provider Identifier (NPI) is 1366674772, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wagoner Hospital Authority?
- Wagoner Hospital Authority is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Wagoner Hospital Authority located?
- Wagoner Hospital Authority's practice location on file with NPPES is 1202 W Cherokee St Ste E, Wagoner, OK 74467-4629.
- What is Wagoner Hospital Authority's phone number?
- The practice phone number listed in the NPPES registry for Wagoner Hospital Authority is (918) 485-1877.
- Does Wagoner Hospital Authority accept Medicare?
- Wagoner Hospital Authority is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Wagoner Hospital Authority?
- The authorized official listed on Wagoner Hospital Authority's NPPES record is Judith Brown, Business Operations Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wagoner Hospital Authority's NPI active?
- Yes — Wagoner Hospital Authority's NPI (1366674772) is active in the NPPES registry as of the last update on 2021-04-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.