CMS-1500 Box 24J / 33a • NPI
1629077227
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
282NC0060X (CMS A0[7])
Accredited Inpatient Medical & Surgical Hospital (24/7 Emergency & ICU Care)
Box 32 Service Location & ZIP+4
6 N COVINGTON ST, COALGATE, OK, 74538-2002
✓ 9-Digit EDI 837 ZIP+4 (74538-2002)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1629077227 (COAL COUNTY GENERAL HOSPITAL) 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
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1629077227 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | COAL COUNTY GENERAL HOSPITAL |
| Plain-English Specialty | Accredited Inpatient Medical & Surgical Hospital (24/7 Emergency & ICU Care) NUCC Code: 282NC0060X (General Acute Care Hospital, Critical Access) |
| Certifying / Licensing Body | The Joint Commission (TJC) / CMS Conditions of Participation (CoP) |
| Practice Location Address | 6 N COVINGTON ST, COALGATE, OK, 74538-2002 |
| Practice Telephone / Fax | Tel: (580) 927-2327 | Fax: (580) 927-2439 |
| Administrative Mailing Address | PO BOX 326, COALGATE, OK, 74538-0326 |
| Enumeration & Last Sync | Enumerated: 2005-07-18 | CMS Record Updated: 2026-09-23 |
| Authorized Official | TRENT BOURLAND (CEO) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (282NC0060X)
What Does Taxonomy Code 282NC0060X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 282NC0060X translates to:
"Accredited Inpatient Medical & Surgical Hospital (24/7 Emergency & ICU Care)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (COAL COUNTY GENERAL HOSPITAL)
Typical CPT / Diagnostic Procedures:- Emergency Department Resuscitation & Trauma Stabilization (CPT 99281–99285)
- Inpatient Acute Medical & Critical Care Admission (DRG / CPT 99221–99291)
- Cross-Sectional Diagnostic Imaging: CT, MRI & Ultrasound
- Inpatient General, Orthopedic & Cardiothoracic Surgery
- 24-Hour Clinical Laboratory, Blood Bank & Microbiology Services
- Broad-Spectrum IV Antimicrobials (Ceftriaxone, Piperacillin-Tazobactam, Vancomycin, Linezolid)
- Parenteral Anticoagulants & Thrombolytics (Heparin, Enoxaparin, Alteplase)
- Balanced Crystalloid Infusions & Oral Rehydration Protocols
- Perioperative Anesthetics, Vasopressors & Analgesics
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
163WE0003X — Registered Nurse, EmergencyPlain English: Licensed & Credentialed Registered Nurse, Emergency | State: N/A | License: Verified | Primary: Secondary |
207P00000X — Emergency MedicinePlain English: Board-Certified Emergency Medicine Physician (ER / Trauma Doctor) | State: N/A | License: Verified | Primary: Secondary |
207PE0004X — Emergency Medicine, Emergency Medical ServicesPlain English: Board-Certified Emergency Medicine Physician (ER / Trauma Doctor) | State: N/A | License: Verified | Primary: Secondary |
2085B0100X — Radiology, Body ImagingPlain English: Licensed & Credentialed Radiology, Body Imaging | State: N/A | License: Verified | Primary: Secondary |
2085D0003X — Radiology, Diagnostic NeuroimagingPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Diagnostic Neuroimaging | State: N/A | License: Verified | Primary: Secondary |
208M00000X — HospitalistPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist | State: N/A | License: Verified | Primary: Secondary |
2278C0205X — Respiratory Therapist, Certified, Critical CarePlain English: Licensed & Credentialed Respiratory Therapist, Certified, Critical Care | State: N/A | License: Verified | Primary: Secondary |
2278E0002X — Respiratory Therapist, Certified, Emergency CarePlain English: Licensed & Credentialed Respiratory Therapist, Certified, Emergency Care | State: N/A | License: Verified | Primary: Secondary |
227900000X — Respiratory Therapist, RegisteredPlain English: Licensed & Credentialed Respiratory Therapist, Registered | State: N/A | License: Verified | Primary: Secondary |
261Q00000X — Clinic/CenterPlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: N/A | License: Verified | Primary: Secondary |
261QC0050X — Clinic/Center, Critical Access HospitalPlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: N/A | License: Verified | Primary: Secondary |
261QE0002X — Clinic/Center, Emergency CarePlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: N/A | License: Verified | Primary: Secondary |
282NC0060X — General Acute Care Hospital, Critical AccessPlain English: Accredited Inpatient Medical & Surgical Hospital (24/7 Emergency & ICU Care) | State: OK | License: 2201 | Primary: Yes (Primary) |
363LC0200X — Nurse Practitioner, Critical Care MedicinePlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Critical Care Medicine | State: N/A | License: Verified | Primary: Secondary |
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