MISSION TREATMENT CENTERS, INC. (NPI# 1255854725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255854725 |
| Entity Type | Organization |
| Organization Name | MISSION TREATMENT CENTERS, INC. |
| Practice Address |
948 W Hefner Rd Oklahoma City OK 73114-6927 |
| Mailing Address |
7371 Prairie Falcon Rd Ste 110 Las Vegas NV 89128-0834 |
| Practice Telephone | 4052869533 |
| Mailing Telephone | 6196654747 |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2017-07-17 |
| Authorized Official Name | MARC LEWISON (PRESIDENT/OWNER) |
| Authorized Official Telephone | 6198188106 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154748127 | Mission Treatment Centers, Inc. | Community/Behavioral Health | 1536 N. Boulder Highway, Henderson, NV 89011 | 2014-03-27 |
| 1700192077 | Mission Treatment Centers, Inc. | Clinic/Center | 617 N.scottsdale Rd, Ste. D, Scottsdale, AZ 85257 | 2010-08-25 |
| 1326354697 | Mission Treatment Centers, Inc. | Anesthesiology | 2887 S Maryland Parkway, Las Vegas, NV 89109-1511 | 2010-08-25 |
| 1508276007 | Mission Treatment Centers, Inc. | Case Management | 1737 Linwood Blvd, Oklahoma City, OK 73106 | 2014-05-06 |
| 1154637429 | Mission Treatment Centers, Inc. | Anesthesiology | 1536 N Boulder Hwy, Henderson, NV 89011-4120 | 2010-08-25 |
| 1558677062 | Mission Treatment Centers, Inc. | Community/Behavioral Health | 5550 S Garnett Rd, Suite 200, Tulsa, OK 74146-6831 | 2010-08-20 |
| 1477869089 | Mission Treatment Centers, Inc. | Clinic/Center | 1737 Linwood Blvd, Oklahoma City, OK 73106-5037 | 2010-08-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MISSION TREATMENT CENTERS, INC. | 1800 Industrial Rd Ste 100, Las Vegas, NV 89102-2685 |
| Street Address |
948 W HEFNER RD |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73114-6927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548807571 | Miguel A Alvarado Sixtos | Licensed Practical Nurse | 948 W Hefner Rd, Oklahoma City, OK 73114-6927 | 2019-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124669783 | Heather Williams | Occupational Therapist | 1404 Nw122nd St, Oklahoma City, OK 73114 | 2019-10-04 |
| 1477194033 | Shonta Jones | Technician | 10723 Norh Western, Apartment G, Oklahoma City, OK 73114 | 2019-10-04 |
| 1023537644 | Tracye Carter | Registered Nurse | 812 Nw 121 Terr, Oklahom City, OK 73114 | 2017-09-14 |
| 1003362849 | Randy Joshua Williamson | Behavioral Analyst | 101 Bainbridge Rd, Oklahoma City, OK 73114 | 2016-08-31 |
| 1427413368 | John Adrian Howard | Physical Therapist | 13100 N Western Ave Ste 302, Oklahoma City, OK 73114 | 2015-12-18 |
| 1497150197 | Payam Ishani Afousi | Dentist | 9405 N. Penn Place, Casady Square, Oklahoma City, OK 73114 | 2014-10-24 |
| 1922407386 | Kelvin Hughes | Counselor | 1400 Nw 105th Ter, Oklahoma City, OK 73114 | 2014-08-21 |
| 1285056887 | Malarie Jackson | Nurse Practitioner | 609 W. Memorial Rd., Oklahoma City, OK 73114 | 2014-01-16 |
| 1508108705 | Adam Liberty | Community/Behavioral Health | 428 N.w 81st, Oklahoma City, OK 73114 | 2013-03-26 |
| 1780926345 | Michelle D Hardimon | Behavioral Analyst | 700 Ne 122nd Apt 4509, Oklahoma City, OK 73114 | 2013-03-21 |
| Find all providers in zip 73114 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477869089 | Mission Treatment Centers, Inc. | Clinic/Center | 1737 Linwood Blvd, Oklahoma City, OK 73106-5037 | 2010-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265083380 | Modoc Tribe of Oklahoma | Clinic/Center | 10025 South 705 Road, Wyandotte, OK 74370 | 2019-09-20 |
| 1932700473 | Maric Healthcare LLC | Clinic/Center | 3445 S Sheridan Rd, Tulsa, OK 74145-1105 | 2020-11-02 |
| City | OKLAHOMA CITY |
| Zip Code | 73114 |
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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.