Healthcare Provider Details

I. General information

NPI: 1801720032
Provider Name (Legal Business Name): NEWMAN MEMORIAL HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1523 S MAIN ST
SHATTUCK OK
73858-9223
US

IV. Provider business mailing address

905 S MAIN ST
SHATTUCK OK
73858-9208
US

V. Phone/Fax

Practice location:
  • Phone: 580-938-2551
  • Fax: 580-938-2659
Mailing address:
  • Phone: 580-938-2551
  • Fax: 580-938-2659

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC0050X
TaxonomyCritical Access Hospital Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BRITTANY C RASH
Title or Position: CFO
Credential:
Phone: 580-938-5600