CREOKS BEHAVIORAL HEALTH (NPI# 1265731772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265731772 |
| Entity Type | Organization |
| Organization Name | CREOKS BEHAVIORAL HEALTH |
| Practice Address |
1803 S Wood Dr Okmulgee OK 74447-6825 |
| Practice Telephone | 9187569250 |
| Practice Fax Number | 9187569187 |
| Mailing Telephone | 9187569250 |
| Mailing Fax Number | 9187569187 |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2011-03-23 |
| Authorized Official Name | MISS RUTH ANN PARKER (CLINICAL SECRETARY) |
| Authorized Official Telephone | 9187569250 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316144272 | Creoks Behavioral Health | Counselor | 400 W 6th St, Okmulgee, OK 74447-5000 | 2007-07-02 |
| 1922260223 | Creoks Behavioral Health | Community/Behavioral Health | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2008-06-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CREOKS BEHAVIORAL HEALTH SERVICES | 4103 S Yale Ave Ste B, Tulsa, OK 74135-6002 |
| Street Address |
1803 S WOOD DR |
| City | OKMULGEE |
| State | OK |
| Zip Code | 74447-6825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316080047 | Cristi Lynn Woodard | Counselor | 1803 S Wood Dr, Okmulgee, OK 74447-6825 | 2007-02-14 |
| 1134732613 | Kylia Byassee | Peer Specialist | 1803 S Wood Dr, Okmulgee, OK 74447-6825 | 2020-08-25 |
| 1639794852 | Leeann Debra Houser | Case Manager/Care Coordinator | 1803 S Wood Dr, Okmulgee, OK 74447-6825 | 2020-06-12 |
| 1083248413 | Christa N Johnson | Case Manager/Care Coordinator | 1803 S Wood Dr, Okmulgee, OK 74447-6825 | 2020-02-25 |
| 1568001766 | Marilyn Daniel | Counselor | 1803 S Wood Dr, Okmulgee, OK 74447-6825 | 2020-01-06 |
| 1730728726 | Thomas Parsons | Case Manager/Care Coordinator | 1803 S Wood Dr, Okmulgee, OK 74447-6825 | 2019-12-23 |
| 1497390306 | Krista Charbonneau | Case Manager/Care Coordinator | 1803 S Wood Dr, Okmulgee, OK 74447-6825 | 2019-11-14 |
| 1124673736 | Lawanda Manous | Case Manager/Care Coordinator | 1803 S Wood Dr, Okmulgee, OK 74447-6825 | 2019-08-09 |
| 1508423963 | Kayla Ann Holland | Counselor | 1803 S Wood Dr, Okmulgee, OK 74447-6825 | 2019-05-21 |
| 1437715190 | Daqwn E Quesenbury | Counselor | 1803 S Wood Dr, Okmulgee, OK 74447-6825 | 2019-05-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718376 | David Louis Holden | Counselor | 1803 W Wood Drive, Okmulgee, OK 74447 | 2020-07-30 |
| 1972097657 | Impact Rehab Consultants | Occupational Therapist | 114 West 7th Street, Okmulgee, OK 74447 | 2018-06-18 |
| 1992192504 | Taquia Bagby | Counselor | 1117 Martin L King Dr., Okmulgee, OK 74447 | 2015-04-21 |
| 1174935886 | Heather Houser | Case Manager/Care Coordinator | 1803 South Wood Drive, Okmuglee, OK 74447 | 2014-05-29 |
| 1376977066 | Anita Kaye Stallings | Case Manager/Care Coordinator | 1018 E 2nd St, Okmulgee, OK 74447 | 2013-08-29 |
| 1013283209 | Megan Breffney Wilson | Family Medicine | 112 West 5th Street, Okmulgee, OK 74447 | 2012-04-01 |
| 1245475466 | Mary Jones | Counselor | 323 W 6th Street, Okmulgee, OK 74447 | 2008-12-03 |
| 1881872182 | State of Oklahoma | Skilled Nursing Facility | 900 E. Airport Rd., Okmulgee, OK 74447 | 2008-02-08 |
| 1053539965 | Shannon Michelle Allison | Physical Therapist | 900 E. Airport Road, Okmulgee, OK 74447 | 2007-04-23 |
| 1023233772 | Ky Joel Kiger | Physical Therapist | 900 East Airport Road, Okmulgee, OK 74447 | 2007-04-16 |
| Find all providers in zip 74447 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588032635 | Recovery In Oklahoma LLC | Clinic/Center | 206 S Grand Ave Ste 202, Okmulgee, OK 74447-4600 | 2015-09-07 |
| 1326446188 | Creek Nation Hospital & Clinics | Clinic/Center | 1201 S Belmont Ave, Ste 205, Okmulgee, OK 74447-6351 | 2014-12-10 |
| 1417355272 | Creek Nation Hospital & Clinics | Clinic/Center | 1201 S Belmont Ave, Ste 207, Okmulgee, OK 74447-6351 | 2014-12-10 |
| 1740689488 | Creek Nation Hospital & Clinics | Clinic/Center | 1201 S Belmont Ave, Ste 207, Okmulgee, OK 74447-6351 | 2014-08-19 |
| 1689073413 | Creek Nation Hospital & Clinics | Clinic/Center | 1201 S Belmont Ave, Ste 205, Okmulgee, OK 74447-6351 | 2014-08-18 |
| 1700134160 | Pinnacle Healthcare Solutions LLC | Clinic/Center | 1101 S Belmont Ave, Suite 102, Okmulgee, OK 74447-6315 | 2012-08-16 |
| 1184815953 | Creek Nation Hospital & Clinics | Clinic/Center | 1313 E 20th St, Okmulgee, OK 74447-6303 | 2007-08-07 |
| 1588672208 | Creek Nation Health Systems | Clinic/Center | 100 W 7th St, Suite 102, Okmulgee, OK 74447-5007 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275471 | Osu Center for Health Sciences | Clinic/Center | 1 E Clark Bass Blvd Ste 201, Mcalester, OK 74501-4209 | 2020-11-06 |
| 1427662170 | Osu Center for Health Sciences | Clinic/Center | 802 S Jackson Ave Ste 410, Tulsa, OK 74127-9059 | 2020-09-01 |
| 1154949642 | Osu Center for Health Sciences | Clinic/Center | 140 W 151st St S, Glenpool, OK 74033-4523 | 2020-07-10 |
| 1235757071 | Equality Health Group LLC | Clinic/Center | 4301 Nw 63rd St Ste 109, Oklahoma City, OK 73116-1548 | 2020-07-08 |
| 1538785985 | Stars and Stripes Therapy Inc. | Clinic/Center | 713 Sw C Ave Ste A, Lawton, OK 73501-4311 | 2020-06-22 |
| 1265058101 | Taylor Medical Group, LLP | Clinic/Center | 735 W Locust St, Stilwell, OK 74960-3403 | 2020-06-16 |
| 1891317731 | Sparks Medical Consulting LLC | Clinic/Center | 1604 Sw 38th St, Moore, OK 73160-2953 | 2020-05-14 |
| 1093341844 | Osu Center for Health Sciences | Clinic/Center | 3201 W Gore Blvd Ste G2, Lawton, OK 73505-6323 | 2020-03-12 |
| 1255964128 | Osu Center for Health Sciences | Clinic/Center | 110 Nw 31st St Fl 3, Lawton, OK 73505-6100 | 2020-02-19 |
| 1104458231 | Osu Center for Health Sciences | Clinic/Center | 6501 S Western Ave Ste 101, Oklahoma City, OK 73139-1709 | 2020-02-06 |
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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.