MEMORIAL HOSPITAL & PHYSICIAN'S GROUP HOME HEALTH CARE — NPI 1316065584 (Licensed & Credentialed Registered Nurse in FREDERICK, OK)

CMS-1500 Box 24J / 33a • NPI

1316065584

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

163W00000X

Licensed & Credentialed Registered Nurse

Box 32 Service Location & ZIP+4

319 E JOSEPHINE AVE, FREDERICK, OK, 73542-2220

✓ 9-Digit EDI 837 ZIP+4 (73542-2220)

Practice Phone & Referral Fax

(580) 335-7565

Fax: (580) 335-7325

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1316065584 (MEMORIAL HOSPITAL & PHYSICIAN'S GROUP HOME HEALTH CARE) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1316065584` (NPI-2 Organization / Facility)
Provider / Legal Name	MEMORIAL HOSPITAL & PHYSICIAN'S GROUP HOME HEALTH CARE
Plain-English Specialty	Licensed & Credentialed Registered Nurse NUCC Code: `163W00000X` (Registered Nurse)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	319 E JOSEPHINE AVE, FREDERICK, OK, 73542-2220
Practice Telephone / Fax	Tel: (580) 335-7565 \| Fax: (580) 335-7325
Administrative Mailing Address	319 E. JOSEPHINE, FREDERICK, OK, 73542
Enumeration & Last Sync	Enumerated: 2007-03-27 \| CMS Record Updated: 2008-08-11
Authorized Official	NATALIE HILBURN (Home Health Office Manager)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

319 E JOSEPHINE AVE, FREDERICK, OK, 73542-2220

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Plain-English Taxonomy & CMS Crosswalk (163W00000X)

What Does Taxonomy Code 163W00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163W00000X translates to:
"Licensed & Credentialed Registered Nurse"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Registered Nurse for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MEMORIAL HOSPITAL & PHYSICIAN'S GROUP HOME HEALTH CARE)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`164W00000X` — Licensed Practical Nurse Plain English: Licensed & Credentialed Licensed Practical Nurse	State: OK \| License: `7746` \| Primary: Secondary
`376J00000X` — Homemaker Plain English: Licensed & Credentialed Homemaker	State: OK \| License: `7746` \| Primary: Secondary
`163W00000X` — Registered Nurse Plain English: Licensed & Credentialed Registered Nurse	State: OK \| License: `7746` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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MEMORIAL HOSPITAL & PHYSICIAN'S GROUP HOME HEALTH CARE (NPI #1316065584)