PROVIDENCE SERVICE CORPORATION


Address: 301 N High St, Antlers, OK 74523-2238
Phone: 5802985779

PROVIDENCE SERVICE CORPORATION (NPI# 1235271222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235271222
Entity Type Organization
Organization Name PROVIDENCE SERVICE CORPORATION
Practice Address 301 N High St
Antlers
OK 74523-2238
Mailing Address 620 N Craycroft Rd
Tucson
AZ 85711-1448
Practice Telephone 5802985779
Practice Fax Number 5802986699
Mailing Telephone 5207476694
Mailing Fax Number 5207476613
Enumeration Date 2007-02-13
Last Update Date 2020-08-22
Authorized Official Name BREEANN HOERNING (AR BILLING MANAGER)
Authorized Official Telephone 5207476691
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251B00000X Case Management Agencies

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1447404082 Providence Service Corporation Exclusive Provider Organization 2211 E Missouri Ave, E243, El Paso, TX 79903-3807 2008-11-10
1851728042 Providence Service Corporation Community/Behavioral Health 2215 N Broadway, Santa Ana, CA 92706-2663 2013-10-02
1982949699 Providence Service Corporation Community/Behavioral Health 469 Main St, Springvale, ME 04083-1870 2012-12-06
1710222534 Providence Service Corporation Community/Behavioral Health 2 Davenport Cir, Suite 4; Achieve Program, Bath, ME 04530-2880 2012-12-05
1821003658 Providence Service Corporation Public Health or Welfare 4645 W Gore Blvd, Suite 5, Lawton, OK 73505-6041 2006-07-30

Office Location

Street Address 301 N HIGH ST
City ANTLERS
State OK
Zip Code 74523-2238

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639239023 Providence Service Corporation of Oklahoma Clinic/Center 301 N High St, Antlers, OK 74523-2238 2006-12-08
1073151148 Tracy Ann Bailey Case Manager/Care Coordinator 301 N High St, Antlers, OK 74523-2238 2019-12-19
1932672078 Melissa Dawn Clem Case Manager/Care Coordinator 301 N High St, Antlers, OK 74523-2238 2019-01-10
1821584236 Ainsley Jalayne Watts Case Management 301 N High St, Antlers, OK 74523-2238 2018-07-09
1801195987 Jennifer Anne Hairrell Counselor 301 N High St, Antlers, OK 74523-2238 2011-03-15
1356647010 Sara Michelle Barnett Behavioral Analyst 301 N High St, Antlers, OK 74523-2238 2011-01-28
1326350646 Frankie Joe Couch Jr. Counselor 301 N High St, Antlers, OK 74523-2238 2010-07-02
1760709950 Jennifer Anne Gordon Counselor 301 N High St, Antlers, OK 74523-2238 2010-04-27
1023161429 Stacey Colette Franks Counselor 301 N High St, Antlers, OK 74523-2238 2007-01-19
1811049976 Lynne B Gelhaus Counselor 301 N High St, Antlers, OK 74523-2238 2007-01-17
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942793351 Terry Jean Draper Nurse Practitioner 416020 E 1951 Rd, Antlers, OK 74523 2018-06-11
1134628456 Breiana Jacobs Case Manager/Care Coordinator 107 South High St, Antlers, OK 74523 2018-02-02
1174072482 Crossroads 1010 LLC Community/Behavioral Health 193908 Us Hwy 271, Antlers, OK 74523 2016-09-27
1700277092 Katherine Jill Maple Registered Nurse 506 Hwy 271 North, Antlers, OK 74523 2015-02-09
1366884975 Jessica L. Rowan Speech-Language Pathologist 426297 State Highway 3, Antlers, OK 74523 2013-07-24
1235432444 Charis Kay Griffin Psychologist 903 West Main St., Antlers, OK 74523 2010-12-09
1629213889 Hometown Quality Care, Inc Home Health 191475 N 4140 Rd Ste 3, Antlers, OK 74523 2008-12-02
1841491214 Zen Gee Counseling & Psychological Serv LLC Community/Behavioral Health 608 Highway 271 North, Antlers, OK 74523 2007-05-31
1376689422 Marcia Leigh Armstrong Counselor 608 Hwy 271 North, Antlers, OK 74523 2007-01-29
1831247691 Chance J Lawless Dentist 412 N Hwy 271, Antlers, OK 74523 2007-01-08
Find all providers in zip 74523

Taxonomy Information

Taxonomy Code 251B00000X
Grouping Agencies
Classification Case Management

Taxonomy Definition

An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821584236 Ainsley Jalayne Watts Case Management 301 N High St, Antlers, OK 74523-2238 2018-07-09
1669718250 Jody Hallman Case Management 106 1/2 Se 2nd, Antlers, OK 74523-0000 2012-12-31
1730431792 Hayley M Rinehart Case Management 106 1/2 S.e. 2nd, Antlers, OK 74523-0000 2012-10-15
1083867725 Quest Mhsa, LLC Case Management 905 W Main St, Antlers, OK 74523-2045 2008-10-28
1144473000 Quest Mhsa, LLC Case Management 905 W Main St, Antlers, OK 74523-2045 2008-10-23
1063562304 Southern Oklahoma Assistance An Resources Foundation Case Management 107 S High St, Antlers, OK 74523-3818 2007-01-11
1427108778 Southern Oklahoma Assistance and Resources Foundation Case Management 107 S High St, Antlers, OK 74523-3818 2007-01-11
1417007766 Southern Oklahoma Assistance and Resources Foundation Case Management 107 S High St, Antlers, OK 74523-3818 2007-01-11
1700940905 Sequelcare of Oklahoma, LLC Case Management 107 S High St, Antlers, OK 74523-3818 2006-12-21
1972667038 Sequelcare of Oklahoma, LLC Case Management 107 S High St, Antlers, OK 74523-3818 2006-12-21
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Competitor

Search similar providers

City ANTLERS
Zip Code 74523

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Dataset Information

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.

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