EAGLE RIDGE INSTITUTE (NPI# 1164544599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164544599 |
| Entity Type | Organization |
| Organization Name | EAGLE RIDGE INSTITUTE |
| Other Organization Name | EAGLE RIDGE FAMILY TREATMENT CENTER |
| Practice Address |
5427 Easy St Guthrie OK 73044-6621 |
| Practice Telephone | 4052824377 |
| Mailing Telephone | 4052824377 |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOHN MAYFIELD (OWNER) |
| Authorized Official Telephone | 4058401359 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | OK | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Eagle Ridge Family Treatment Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851521363 | Eagle Ridge Institute | Community/Behavioral Health | 109 W 2nd Street, Tahlequah, OK 74464 | 2009-07-17 |
| 1669602173 | Eagle Ridge Institute | Community/Behavioral Health | 1515 W Chickasaw, Sallisaw, OK 74955 | 2009-07-17 |
| 1780801373 | Eagle Ridge Institute | Community/Behavioral Health | 501 E Delaware, Mcalester, OK 74501 | 2007-04-18 |
| 1396889556 | Eagle Ridge Institute | Community/Behavioral Health | 601 Ne 63rd St, Oklahoma City, OK 73105-6407 | 2007-02-19 |
| 1104182633 | Eagle Ridge Institute | Case Management | 601 Ne 63rd St, Oklahoma City, OK 73105-6407 | 2012-04-10 |
| 1629285267 | Eagle Ridge Institute | Community/Behavioral Health | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2007-05-16 |
| 1073730545 | Eagle Ridge Institute | Community/Behavioral Health | 601 Ne 63rd St, Oklahoma City, OK 73105-6407 | 2007-04-19 |
| 1790902260 | Eagle Ridge Institute | Community/Behavioral Health | 601 Ne 63rd St, Oklahoma City, OK 73105-6407 | 2007-04-19 |
| 1821119447 | Eagle Ridge Institute | Community/Behavioral Health | 109 S Harrill Ave, 1, Wagoner, OK 74467-5317 | 2007-04-02 |
| Street Address |
5427 EASY ST |
| City | GUTHRIE |
| State | OK |
| Zip Code | 73044-6621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356869952 | Martha Jean Crowe | Technician, Other | 1916 E. Perkins, Guthrie, OK 73044 | 2017-09-03 |
| 1518487412 | Robin Lynn Wheeler | Peer Specialist | 2000 Woodlawn Dr. Apt B7, Guthrie, OK 73044 | 2017-06-21 |
| 1083147284 | Kourtney Stafford | Case Manager/Care Coordinator | 390 S Henney Rd, Guthrie, OK 73044 | 2017-04-05 |
| 1396297826 | Mary Ann Oliver | Case Management | 2403 S Division, Suite C&d, Guthrie, OKLAHOMA 73044 | 2016-11-01 |
| 1881143204 | Kathryn Elizabeth Price | Dietitian, Registered | 5750 Cedar Tree Cir, Guthrie, OK 73044 | 2016-09-27 |
| 1598134165 | Guthrie Cottages, LLC | Intermediate Care Facility, Mentally Retarded | 2102 W Warner, Guthrie, OK 73044 | 2015-09-24 |
| 1023447166 | Leland Finn | Case Manager/Care Coordinator | 108 Harvest Road, Guthrie, OK 73044 | 2013-11-08 |
| 1891044632 | Sycheekia D King | Case Management | 913 E.springer, Guthrie, OK 73044 | 2012-09-07 |
| 1235486929 | Leondra Janell Doakes | Counselor | 1321 E. Oklahoma Ave., Guthrie, OK 73044 | 2012-08-13 |
| 1568756120 | Linda Jo Roper | Behavioral Analyst | 104 Eastwood Drive, Guthrie, OK 73044 | 2011-06-01 |
| Find all providers in zip 73044 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730626672 | Colby Leann Sharp | Substance Abuse Rehabilitation Facility | 1916 E Perkins Ave, Guthrie, OK 73044-5804 | 2017-01-30 |
| 1619130978 | Eagle Ridge Family Treatment Center | Substance Abuse Rehabilitation Facility | 1916 E Perkins Ave, 1916 E Perkins, Guthrie, OK 73044-5804 | 2008-07-08 |
| 1720206873 | Cynthia Ann Anouar | Substance Abuse Rehabilitation Facility | 1916 E Perkins Ave, Guthrie, OK 73044-5804 | 2007-04-23 |
| 1598988958 | Teri Rene Avey | Substance Abuse Rehabilitation Facility | 1916 E Perkins Ave, Guthrie, OK 73044-5804 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301893 | Second Chance Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 4238 Ne 1st St, Pryor, OK 74361-9614 | 2020-06-24 |
| 1912551805 | Estelle Hawkins | Substance Abuse Rehabilitation Facility | 21227 N County Road 3350, Wynnewood, OK 73098-9356 | 2019-07-29 |
| 1902359391 | Ryan Fitzpatrick | Substance Abuse Rehabilitation Facility | 7138 S Canton Ave, Tulsa, OK 74136-6303 | 2016-08-02 |
| 1609223866 | Seven Ponds Energy LLC Dba Seven Ponds Residential Treatment | Substance Abuse Rehabilitation Facility | 1760 Blevins Rd., Bennington, OK 74723 | 2016-05-18 |
| 1679938534 | Claudia Antoinette Parker | Substance Abuse Rehabilitation Facility | 301 Pointe Parkway Blvd Apt 706, Yukon, OK 73099-0641 | 2015-12-20 |
| 1184089328 | Door 2 Ur Future | Substance Abuse Rehabilitation Facility | 1050 E 61st St Apt 89, Tulsa, OK 74136-1397 | 2015-12-15 |
| 1144627233 | Denise Evyonne Engram | Substance Abuse Rehabilitation Facility | 4723 S Ash Dr, Broken Arrow, OK 74011-3464 | 2014-12-04 |
| 1093127979 | Kimberly Ann Kelly-lorenz | Substance Abuse Rehabilitation Facility | 163 Mohawk Dr, Canadian, OK 74425-9747 | 2014-05-27 |
| 1558783589 | Vizown LLC | Substance Abuse Rehabilitation Facility | 24962 Okay Rd, Tecumseh, OK 74873-6504 | 2014-01-10 |
| 1104256684 | Robert Watson | Substance Abuse Rehabilitation Facility | 111 W 5th St Ste 600, Tulsa, OK 74103-4260 | 2013-11-19 |
| 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.