EUFAULA LAKE FAMILY DEVELOPMENT CENTER (NPI# 1619297421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619297421 |
| Entity Type | Organization |
| Organization Name | EUFAULA LAKE FAMILY DEVELOPMENT CENTER |
| Practice Address |
Rt 1 Box 131-c Eaufaula OK 74432 |
| Practice Telephone | 9184523133 |
| Mailing Telephone | 9184523133 |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2010-06-03 |
| Authorized Official Name | RANDY RANDLEMAN (OWNER) |
| Authorized Official Telephone | 9184523133 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | 21330 | OK | Agencies |
| Street Address |
RT 1 BOX 131-C |
| City | EAUFAULA |
| State | OK |
| Zip Code | 74432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992272249 | Carlton Landing Academy | Local Education Agency (LEA) | 10 Blvd Carlton Landing, Eufaula, OK 74432 | 2018-10-25 |
| 1780169631 | Kristin Corbin | Registered Nurse | 500 Eunice Burns, Eufaula, OK 74432 | 2018-09-26 |
| 1831670934 | Brandy Nicole Chiles | Registered Nurse | 500 Eunice Burns Road, Eufaula, OK 74432 | 2018-08-27 |
| 1922527506 | Rebekah Lea Mason | Counselor | 16820 State Highway 9 East, Eufaula, OK 74432 | 2017-09-14 |
| 1902328727 | Southeast Imaging, LLC | Physiological Laboratory | 111 Forest Ave., Suite C, Eufaula, OK 74432 | 2017-07-13 |
| 1881127561 | Charity Brady | Physical Therapist | 29 Hospital Rd, Eufaula, OK 74432 | 2017-04-10 |
| 1700209145 | Beverly Mefford | Social Worker | 104 Alexander Dr., Eufaula, OK 74432 | 2014-01-21 |
| 1649551177 | Cynthia Paula Vanpool | Case Manager/Care Coordinator | Rural Route 1 Box 131 C, Eufaula, OK 74432 | 2011-08-29 |
| 1285938621 | Drs Odom Coburn and Richardson Pllc | Optometrist | 403 S Main, Eufaula, OK 74432 | 2010-12-28 |
| 1255648580 | Southeastern Oklahoma Family Services, Inc. | Clinic/Center | 39 East Foley, Eufaula, OK 74432 | 2010-09-08 |
| Find all providers in zip 74432 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618758 | Jonathan Nyanquoi Nyanyoun | Case Management | 12508 E 34th St, Tulsa, OK 74146-2218 | 2020-10-30 |
| 1437758323 | Free Your Mind Counseling | Case Management | 10802 Quail Plaza Dr Ste 208, Oklahoma City, OK 73120-3121 | 2020-10-21 |
| 1750997680 | Vanessa Flores | Case Management | 13177 Ne Tony Creek Rd, Elgin, OK 73538-2006 | 2020-09-16 |
| 1619588134 | Coral LLC | Case Management | 12352 Market Dr, Oklahoma City, OK 73114-8136 | 2020-08-10 |
| 1003430497 | Meals On Wheels of Metro Tulsa, Inc. | Case Management | 12620 E 31st St, Tulsa, OK 74146-2307 | 2020-06-02 |
| 1972137107 | Delayna Lynne Marion | Case Management | 109902 S 4570 Rd, Sallisaw, OK 74955-5086 | 2020-02-26 |
| 1649802679 | Amee Renae Brown | Case Management | 9225 E 570 Rd, Kansas, OK 74347-1620 | 2020-02-07 |
| 1780223453 | 20th District Drug Court | Case Management | 39 N Washington St Ste 219, Ardmore, OK 73401-7056 | 2019-12-30 |
| 1528629813 | Medefy Health LLC | Case Management | 8596 E 101st St Ste C, Tulsa, OK 74133-7037 | 2019-06-26 |
| 1033778287 | Sheena M Spies | Case Management | 816 W Oakland St, Broken Arrow, OK 74012-1662 | 2019-06-11 |
| 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.