STATE OF OKLAHOMA (NPI# 1225352057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225352057 |
| Entity Type | Organization |
| Organization Name | STATE OF OKLAHOMA |
| Other Organization Name | BILL WILLIS CMH & SAC |
| Practice Address |
400 North Oak Taft OK 74463 |
| Mailing Address |
Po Box 558 Tahlequah OK 74465-0558 |
| Practice Telephone | 9182073000 |
| Practice Fax Number | 9182073064 |
| Mailing Telephone | 9182073000 |
| Mailing Fax Number | 9182073064 |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2010-03-23 |
| Authorized Official Name | MRS. MARGARET BRADFORD (EXECYTIVE DIRECTOR) |
| Authorized Official Telephone | 9182073000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Bill Willis CMH & SAC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790922185 | State of Oklahoma | Community Based Residential Treatment Facility, Mental Illness | 2323 South Harvard, Tulsa, OK 74114 | 2009-01-07 |
| 1124286059 | State of Oklahoma | Pharmacy | 304 Fairlane Ave, Sulphur, OK 73086-6861 | 2008-05-28 |
| 1154589430 | State of Oklahoma | Skilled Nursing Facility | 10014 Se 1138th Street, Talihina, OK 74571-6028 | 2008-05-23 |
| 1225295710 | State of Oklahoma | Skilled Nursing Facility | 1701 South 4th, Clinton, OK 73601-1209 | 2008-05-21 |
| 1881872182 | State of Oklahoma | Skilled Nursing Facility | 900 E. Airport Rd., Okmulgee, OK 74447 | 2008-02-08 |
| 1720152788 | State of Oklahoma | Community/Behavioral Health | 702 N. Grand, Northwest Center for Behavioral Health, Enid, OK 73701 | 2006-11-20 |
| 1750456588 | State of Oklahoma | Community/Behavioral Health | 1222 10th Street, Suite 211, Northwest Center for Behavioral Health, Woodward, OK 73801-3156 | 2006-11-20 |
| 1700950201 | State of Oklahoma | Substance Abuse Rehabilitation Facility | 5050 Williams Avenue, Northwest Center for Behavioral Health, Woodward, OK 73801 | 2006-11-17 |
| 1922171701 | State of Oklahoma | Psychiatric Hospital | 1 Mile East U.S. Highway 270, Fort Supply, OK 73841-0001 | 2006-11-17 |
| 1437222734 | State of Oklahoma | Community/Behavioral Health | 604 Choctaw, Northwest Center for Behavioral Health, Alva, OK 73717 | 2006-11-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | STATE OF OKLAHOMA EAST CENTRAL UNIVERSITY | 1100 E 14th St, Ada, OK 74820-6999 |
| Street Address |
400 NORTH OAK |
| City | TAFT |
| State | OK |
| Zip Code | 74463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366746117 | Jack A Shannon | Dentist | 601 S 124th St. West, Taft, OK 74463 | 2011-01-07 |
| 1265565295 | Jarett Brandon Turney | Dentist | 601 S 124th St W, Taft, OK 74463 | 2007-03-13 |
| 1760500250 | Paula Belle Gettys | Family Medicine | 400 Oak Street, Taft, OK 74463-0315 | 2007-03-26 |
| 1558751628 | Heather Elizabeth Hasenmyer | Physician Assistant | 400 Oak Street, Taft, OK 74463-0315 | 2015-01-28 |
| 1700946738 | Jamey Lynn Vandiver | Counselor | 601 S. 142th St. W., Taft, OK 74463-0316 | 2006-12-11 |
| 1295030484 | Lawrence Henry Trombka | Psychiatry & Neurology | 601 S 124th St W, Taft, OK 74463-0316 | 2011-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891329793 | Claire Arellano | Specialist/Technologist | 459 Terrace Dr, Taft, CA 93268-4505 | 2020-02-28 |
| 1720611767 | Khalil Reed | Behavioral Analyst | 432 Philippine St, Taft, CA 93268-3829 | 2020-02-18 |
| 1871068965 | Rachel Annette Clark | Advanced Practice Midwife | 1111 Old Railroad Bed Rd # 23, Taft, TN 38488-9998 | 2018-10-04 |
| 1407381981 | Yaqueline Lopez | Case Manager/Care Coordinator | 102 4th St Ste B, Taft, CA 93268-3516 | 2017-04-21 |
| 1821457680 | Express Drugs | Pharmacy | 900 Kern St Ste A, Taft, CA 93268-2766 | 2016-02-22 |
| 1720454614 | Creekside Retreat, Inc. | Substance Abuse Rehabilitation Facility | 39 Stevens Hollow Rd, Taft, TN 38488-5269 | 2015-08-14 |
| 1912314956 | Taft Union High School | Local Education Agency (LEA) | 701 Wildcat Way, Taft, CA 93268-8013 | 2014-07-22 |
| 1073940540 | Community Action Corporation of South Texas | Clinic/Center | 201 Roots Ave, Taft, TX 78390-3059 | 2013-09-30 |
| 1295161248 | Christian Quang Nguyen | Pharmacist | 301 Gardner Field Rd, Taft, CA 93268-9726 | 2013-09-23 |
| 1669718193 | Susan Marie Harrison | Counselor | 1021 4th St # B, Taft, CA 93268-2433 | 2013-01-03 |
| Find all providers in TAFT | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114242864 | College Community Services | Community/Behavioral Health | 1021 4th St Ste B, Taft, CA 93268-2433 | 2010-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073623 | Keonte Criswell | Community/Behavioral Health | 11530 Andover Ct, Oklahoma City, OK 73130-8217 | 2020-11-05 |
| 1427656909 | Against All Odds Youth and Family Services | Community/Behavioral Health | 2701 Nw 185th St, Edmond, OK 73012-9795 | 2020-10-15 |
| 1730798117 | Healing Minds Counseling LLC | Community/Behavioral Health | 5300 N Meridian Ave Ste 11, Oklahoma City, OK 73112-2179 | 2020-07-30 |
| 1477170322 | Glostars LLC | Community/Behavioral Health | 19704 Vivace Dr, Edmond, OK 73012-5232 | 2020-06-26 |
| 1780201798 | Canadian County Collaborative LLC | Community/Behavioral Health | 1703 Professional Cir Ste 201, Yukon, OK 73099-6498 | 2020-06-26 |
| 1235754458 | New Life Counseling Center | Community/Behavioral Health | 1206 N Hwy 81, Duncan, OK 73533-1790 | 2020-06-12 |
| 1770108946 | Meadow Hazelhoff Counseling, LLC | Community/Behavioral Health | 9524 Conners Way, Mcloud, OK 74851-8668 | 2020-06-12 |
| 1407477920 | Keetoowah Economic Development | Community/Behavioral Health | 16414 W 760 Rd, Tahlequah, OK 74464-1675 | 2020-05-06 |
| 1992336481 | Share More Ctc, LLC | Community/Behavioral Health | 2000 N Broadway St Ste B, Moore, OK 73160-4416 | 2020-02-03 |
| 1356981138 | Grand Lake Mental Health Center Inc | Community/Behavioral Health | 2225 N Union, Ponca City, OK 74601-1536 | 2020-01-09 |
| 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.