OrganizationActive
Perry Memorial Hospital Authority
NPI 1861942948 · Family Medicine Physician · Perry, OK
Provider details
- NPI number
- 1861942948
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Fuller, Chairman of the Board(580) 336-2176
- License
- 2268 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
501 N 14th St
Perry, OK 73077-5021
Phone: (580) 336-2176
Fax: (580) 336-3178
Street-level locationGet directions
Mailing address
1318 Elm St
Perry, OK 73077-5034
Other names (DBA / former)
- Doing business as
- Community Medical Clinic
Registry dates
- Enumerated
- 2016-10-12
- Last updated
- 2016-10-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.