TRI-CITY SUBSTANCE ABUSE CENTER, INC. (NPI# 1245401413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245401413 |
| Entity Type | Organization |
| Organization Name | TRI-CITY SUBSTANCE ABUSE CENTER, INC. |
| Practice Address |
124 S Broadway Ave Ada OK 74820-5807 |
| Practice Telephone | 5803328773 |
| Practice Fax Number | 5803328774 |
| Mailing Telephone | 5803328773 |
| Mailing Fax Number | 5803328774 |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |
| Authorized Official Name | MRS. SHARON I KNOWLES (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5803328773 |
| Authorized Official Credential | CADC, CCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639294044 | Tri-city Substance Abuse Center, Inc. | Counselor | 214 E Oak Ave, Seminole, OK 74868-3442 | 2007-03-21 |
| Street Address |
124 S BROADWAY AVE |
| City | ADA |
| State | OK |
| Zip Code | 74820-5807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689877904 | Judy Lynne Parkins | Counselor | 124 S Broadway Ave, Suite 408, Ada, OK 74820-5807 | 2007-06-06 |
| 1780044073 | Brandon G. Smith | Case Manager/Care Coordinator | 124 S Broadway Ave, Suite 200, Ada, OK 74820-5820 | 2016-02-29 |
| 1023411907 | Addiction & Behavioral Health Center, Inc | Community/Behavioral Health | 124 S Broadway Ave, Suite 200, Ada, OK 74820-5820 | 2014-10-06 |
| 1881096824 | Kimberly Lee | Counselor | 124 S Broadway Ave, Suite 402, Ada, OK 74820-5820 | 2014-09-22 |
| 1770803322 | Claralice Putnam | Counselor | 124 S Broadway Ave, American Building-suite 406, Ada, OK 74820-5820 | 2010-06-06 |
| 1740506377 | Rebecca Ann Stark | Counselor | 124 S Broadway Ave, Ste 408, Ada, OK 74820-5807 | 2010-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578103727 | Curry Orthopedics and Sports Medicine Pllc | Orthopaedic Surgery | 919 Colony Drive, Ada, OK 74820 | 2020-01-15 |
| 1215574603 | Miranda Denise Bowman | Counselor | 1300 Hoppe Blvd., Suite 5, Ada, OK 74820 | 2019-12-04 |
| 1326509654 | Patricia June Harjo | Case Manager/Care Coordinator | Nittak Himitta' Women's and Children's Recovery Center, 2024 Te Ata Drive, Ada, OK 74820 | 2019-03-28 |
| 1649737172 | Rylee Nikole Leblanc | Case Manager/Care Coordinator | 1119 S High School St, Ada, OK 74820 | 2019-02-20 |
| 1891251328 | David Kinback | Rehabilitation Counselor | 1400 Hoppe Blvd., Suite 3, Cn Recovery Resource Services, Ada, OK 74820 | 2019-02-20 |
| 1922571009 | Central Oklahoma Family Medical Center, Inc. | Pharmacy | 905 Colony Dr, Ada, OK 74820 | 2019-01-10 |
| 1063988673 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 905 Colony Drive Bldg, Ada, OK 74820 | 2018-10-22 |
| 1265907885 | Apex Surgery Center, LLC | Surgery | 2001 Cradduck Road, Ada, OK 74820 | 2018-10-10 |
| 1689150898 | Sabrina Simmons | Social Worker | 2516 Oakhurst Dr Apt E, Ada, OK 74820 | 2018-07-11 |
| 1700370467 | Brianna Leigh Youngwolfe | Nurse Practitioner | 2020 Arlington St Ste 6, Ada, OK 74820 | 2018-06-17 |
| Find all providers in zip 74820 | ||||
| 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 |
|---|---|---|---|---|
| 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.