WHITE HORSE RANCH (NPI# 1154520856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154520856 |
Entity Type | Organization |
Organization Name | WHITE HORSE RANCH |
Practice Address |
1601 Wilkie Rd Mooreland OK 73852-8921 |
Practice Telephone | 5809945649 |
Practice Fax Number | 5809942739 |
Mailing Telephone | 5809945649 |
Mailing Fax Number | 5809942739 |
Enumeration Date | 2007-07-12 |
Last Update Date | 2008-04-20 |
Authorized Official Name | MRS. TAMMIE SMITH (DIRECTOR) |
Authorized Official Telephone | 5809945649 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
========= | OK | Residential Treatment Facilities |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oklahoma Business Registrations | WHITE HORSE RANCH, L.L.C. | 1601 Wilkie Rd, Mooreland, OK 73852 |
Washington State Corporations | WHITE HORSE RANCH, LLC | 27903 122nd Ave E, Po Box 1275, Graham, WA 98338 |
Street Address |
1601 WILKIE RD |
City | MOORELAND |
State | OK |
Zip Code | 73852-8921 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235589904 | Hope Elizabeth Smith | Peer Specialist | 1601 Wilkie Rd, Mooreland, OK 73852-8921 | 2016-06-14 |
1215212170 | Jessica Marie Anderson | Counselor | 1601 Wilkie Rd, Mooreland, OK 73852-8921 | 2011-10-11 |
1952685893 | Tammie Smith | Counselor | 1601 Wilkie Rd, Mooreland, OK 73852-8921 | 2011-10-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023493129 | Texoma Medical Services, Inc | Pharmacy | 417 Sw 7th Street, Suite 2, Mooreland, OK 73852 | 2015-07-30 |
1427449313 | Wendy Denae Crotts | Nurse Practitioner | 417 Sw 7th St, Mooreland, OK 73852-7602 | 2015-02-12 |
1750740338 | Woodward Health Systems LLC | Family Medicine | 417 Sw 7th St, Mooreland, OK 73852-7602 | 2016-02-11 |
1427421031 | Woodward Health System LLC | Clinic/Center | 417 Sw 7th St, Mooreland, OK 73852-7602 | 2015-11-04 |
1558749192 | Texoma Medical Services Inc | Pharmacy | 417 Sw 7th St Ste 2, Mooreland, OK 73852-7603 | 2015-05-15 |
1821555822 | Julie Beth Daily | Pharmacist | 417 Sw 7th St Ste 2, Mooreland, OK 73852-7603 | 2019-02-26 |
1841836541 | Jessica Nichole Martin | Peer Specialist | 320 S Hill St, Mooreland, OK 73852-9015 | 2019-11-18 |
1346385689 | Lightning Creek Investment Group Inc | Nursing Facility/Intermediate Care Facility | 402 Se 6th St, Mooreland, OK 73852-9064 | 2007-02-21 |
1447796651 | Katelyn Jean Shepherd | Occupational Therapy Assistant | 402 Se 6th St, Mooreland, OK 73852-9064 | 2017-01-11 |
1194109991 | Robert Harris | Occupational Therapist | 402 Se 6th St, Mooreland, OK 73852-9064 | 2015-07-13 |
Find all providers in zip 73852 |
Taxonomy Code | 3245S0500X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
Specialization | Substance Abuse Treatment, Children |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801317821 | Substance Abuse Foundatiion for Educaiton | Substance Abuse Rehabilitation Facility | 1618 Se 59th St, Oklahoma City, OK 73129-7314 | 2017-06-29 |
1841681160 | April Esther Pahari | Substance Abuse Rehabilitation Facility | 2424 N Quebec Ave, Tulsa, OK 74115-3209 | 2015-02-09 |
1043630676 | Direct Care Counseling Services, LLC | Substance Abuse Rehabilitation Facility | 2200 Hardin Dr, Oklahoma City, OK 73111-1727 | 2014-04-22 |
1780939223 | Jack Brown Treatment Center | Substance Abuse Rehabilitation Facility | 17091 S Muskogee Ave, Tahlequah, OK 74465 | 2012-07-20 |
1932403276 | Franks | Substance Abuse Rehabilitation Facility | 402 S.w. Mass. Ave, Langston, OK 73050-0495 | 2010-12-30 |
1235458571 | Tjs Daycare | Substance Abuse Rehabilitation Facility | 2808 Ne 23rd St, Oklahoma City, OK 73121-2453 | 2010-05-26 |
1801014550 | Monarch, Inc | Substance Abuse Rehabilitation Facility | 2310 W Broadway St, Muskogee, OK 74401-2761 | 2007-04-20 |
1851420384 | Tulsa Boys' Home | Substance Abuse Rehabilitation Facility | 2727 S 137th W Ave, Sand Springs, OK 74063-5017 | 2007-03-02 |
1184795338 | Four Winds Ranch Recovery Center for Adolescent Females L.L.C. | Substance Abuse Rehabilitation Facility | 501 N Santa Fe Rd, Guthrie, OK 73044-8982 | 2006-11-10 |
1255749917 | Monarch, Inc | Substance Abuse Rehabilitation Facility | 2310 W Broadway St, Muskogee, OK 74401-2761 | 2014-07-25 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.