MILLENNIUM COMMUNITY SERVICES, LLC (NPI# 1649780131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649780131 |
| Entity Type | Organization |
| Organization Name | MILLENNIUM COMMUNITY SERVICES, LLC |
| Practice Address |
503 S Central Ave Idabel OK 74745-6061 |
| Mailing Address |
3816 Shadowridge Dr Norman OK 73072-5308 |
| Practice Telephone | 5802457101 |
| Practice Fax Number | 8887538162 |
| Mailing Telephone | 4055739905 |
| Mailing Fax Number | 8887538162 |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2019-08-11 |
| Authorized Official Name | DR. WADE L HAMIL (CEO) |
| Authorized Official Telephone | 4055739905 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200129170J | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669721288 | Millennium Community Services, LLC | Community/Behavioral Health | 2727 S Division St, Guthrie, OK 73044-6804 | 2012-08-29 |
| 1699395491 | Millennium Community Services, LLC | Clinic/Center | 23 N 8th St, Duncan, OK 73533-4601 | 2020-04-21 |
| 1285161679 | Millennium Community Services, LLC | Clinic/Center | 245 W Wilshire Blvd Ste A, Oklahoma City, OK 73116-7754 | 2017-05-16 |
| 1053742890 | Millennium Community Services, LLC | Clinic/Center | 221 W 3rd St, Hobart, OK 73651-3603 | 2013-12-04 |
| 1669809893 | Millennium Community Services, LLC | Clinic/Center | 1212 Reynolds Ave, Poteau, OK 74953-4724 | 2013-10-02 |
| 1477803559 | Millennium Community Services, LLC | Community/Behavioral Health | 908 Dallas St, Talihina, OK 74571-1268 | 2012-09-14 |
| 1396927497 | Millennium Community Services, LLC | Clinic/Center | 448 36th Ave Nw Ste 101, Norman, OK 73072-4743 | 2007-11-29 |
| Street Address |
503 S CENTRAL AVE |
| City | IDABEL |
| State | OK |
| Zip Code | 74745-6061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073872081 | Catherine White | Counselor | 503 S Central Ave, Idabel, OK 74745-6061 | 2012-05-10 |
| 1730709148 | Kiamita R Natt | Case Manager/Care Coordinator | 503 S Central Ave, Idabel, OK 74745-6061 | 2020-04-26 |
| 1295355840 | Millennium Medical Services, L.L.C. | Counselor | 503 S Central Ave, Idabel, OK 74745-6061 | 2020-04-23 |
| 1619535523 | Zendre Chemounn Crutchfield | Case Manager/Care Coordinator | 503 S Central Ave, Idabel, OK 74745-6061 | 2019-06-05 |
| 1194795286 | Camden Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 503 S Central Ave, Idabel, OK 74745-6061 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568957348 | Home Run Healthcare | Family Medicine | 1425 East Lincoln Road, Suite A-3, Idabel, OK 74745 | 2018-06-25 |
| 1720457203 | Leann Tomlinson | Registered Nurse | 2002 E Lincoln Rd, Idabel, OK 74745 | 2015-09-15 |
| 1659795508 | Laura Rush | Optometrist | 902 Lincoln Road, Idabel, OK 74745 | 2014-02-13 |
| 1619301116 | White River Home Health | Home Health | 2100 East Washington Street Ste D, Idabel, OK 74745 | 2013-09-03 |
| 1922440999 | John Phillip Stone Scoggin | Counselor | 111 Canterbury Lane, Idabel, OK 74745 | 2013-07-19 |
| 1841576725 | Ayesha Shante Wyatt | Nurse's Aide | 1800 Hillcrest, Idabel, OK 74745 | 2011-10-24 |
| 1154569457 | Southern Oklahoma Treatment Services, Inc. | Community/Behavioral Health | 6 Southeast Avenue A, Idabel, OK 74745 | 2009-01-26 |
| 1417103854 | John Hoskins | Internal Medicine | 902 Lincoln Rd, Choctaw Nation Health Clinic, Idabel, OK 74745 | 2008-08-18 |
| 1801077045 | Rhonda Cheryl Rodgers | Counselor | 104 Ne Ave A, Idabel, OK 74745 | 2007-11-15 |
| 1326241548 | Beverly Gayle Jasper-hayes | Counselor | 104 Ne A - Avenue, Idabel, OK 74745 | 2007-06-06 |
| Find all providers in zip 74745 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235417643 | Magan Marie Willingham | Clinic/Center | 2100 Se Washington St, Idabel, OK 74745-5449 | 2011-08-02 |
| 1740344290 | Sequelcare of Oklahoma, LLC | Clinic/Center | 411 S Central Ave, Idabel, OK 74745-6059 | 2006-12-20 |
| 1821189671 | The Mental Health Center, Inc | Clinic/Center | 17 S Central Ave, Idabel, OK 74745-4625 | 2006-09-27 |
| 1083778153 | Sequelcare of Oklahoma, LLC | Clinic/Center | 411 S Central Ave, Idabel, OK 74745-6059 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870742 | Sequelcare of Oklahoma, LLC | Clinic/Center | 6218 S Lewis Ave Ste 118, Tulsa, OK 74136-1018 | 2020-10-28 |
| 1649870890 | M & M Counseling Group, LLC | Clinic/Center | 207 S Czech Hall Rd, Yukon, OK 73099-6851 | 2020-10-27 |
| 1992303721 | Misty Watkins | Clinic/Center | 1601 Sw Parkridge Blvd Ste 200, Lawton, OK 73505-7564 | 2020-10-14 |
| 1295342046 | Integrative Healthcare Solutions LLC | Clinic/Center | 2227 E 8th St, Tulsa, OK 74104-3237 | 2020-09-25 |
| 1235744020 | Strength of A Warrior Counseling Services LLC | Clinic/Center | 4516 Se 25th St, Del City, OK 73115-4114 | 2020-09-09 |
| 1609488253 | Alexie Foster, LLC | Clinic/Center | 16802 S 301st West Ave, Bristow, OK 74010-2265 | 2020-08-17 |
| 1306455068 | Restore Family Counseling, LLC | Clinic/Center | 100 W. Wilshire, Suite #c3, Oklahoma City, OK 73116 | 2020-07-29 |
| 1245855857 | Dragonfly Psychotherapy | Clinic/Center | 2942 Ne Orlie Dr, Forest Park, OK 73121-2436 | 2020-06-09 |
| 1508480872 | Maria Nancy Martinez | Clinic/Center | 5350 S Western Ave Ste 217, Oklahoma City, OK 73109-4525 | 2020-06-03 |
| 1649894015 | Miranda Rackers | Clinic/Center | 1308 E Mckinley Ave, Sapulpa, OK 74066-4824 | 2020-06-02 |
| 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.