MEADOW BROOK OUTPATIENT TREATMENT CENTER (NPI# 1699899765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699899765 |
| Entity Type | Organization |
| Organization Name | MEADOW BROOK OUTPATIENT TREATMENT CENTER |
| Practice Address |
800 Meadow Lane Howe OK 74940-0000 |
| Practice Telephone | 9186582189 |
| Practice Fax Number | 9186582180 |
| Mailing Telephone | 9186582189 |
| Mailing Fax Number | 9186582180 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2009-06-29 |
| Authorized Official Name | MR. BOBBY D. COX (OWNER) |
| Authorized Official Telephone | 9186582509 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100708350B | 05 |
| Street Address |
800 MEADOW LANE |
| City | HOWE |
| State | OK |
| Zip Code | 74940-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659795268 | Beckie Johnson | Case Manager/Care Coordinator | 800 Meadow Lane, Howe, OK 74940 | 2014-02-18 |
| 1174862775 | Galena Beth Armstrong | Clinic/Center | 800 Meadow Lane, Howe, OK 74940 | 2013-02-04 |
| 1629332093 | Lea J Hill | Behavioral Analyst | 800 Meadow Lane, Howe, OK 74940 | 2012-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669015160 | Tamra Fitzer | Technician | 21444 East North Railroad St., Howe, OK 74940 | 2019-10-28 |
| 1467925073 | Charlotte Renae Smith | Technician | 21444 E N Railroad, Howe, OK 74940 | 2019-01-07 |
| 1063995199 | Tandi Lynn Jackson | Technician | 21444 East N Railroad, Howe, OK 74940 | 2018-09-14 |
| 1881177913 | Waldina Mercedes Stinson | Technician | 21444 East North, Railroad, Howe, OK 74940 | 2018-09-14 |
| 1811479355 | Amanda Marie Martin | Technician | 21444 East North Railroad, Howe, OK 74940 | 2018-08-31 |
| 1003208190 | Christine Emmons | Nurse's Aide | 21228 Meadow Lane, Howe, OK 74940 | 2015-02-26 |
| 1659762722 | Donna J Nelson | Technician | 21228 Meadow Ln, Howe, OK 74940 | 2015-02-11 |
| 1083021430 | Janet Farmer-stanley | Counselor | 21182 Meadow Lane, Howe, OK 74940 | 2014-07-17 |
| 1548526908 | Hope Johnson | Clinic/Center | 21182 Meadow Ln, Howe, OK 74940 | 2012-04-10 |
| 1649599531 | Timothy Matthew Nida | Counselor | 39995 Rnd. Mt Ln, Howe, OK 74940 | 2010-05-18 |
| Find all providers in zip 74940 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073623 | Keonte Criswell | Community/Behavioral Health | 11530 Andover Ct, Oklahoma City, OK 73130-8217 | 2020-11-05 |
| 1427656909 | Against All Odds Youth and Family Services | Community/Behavioral Health | 2701 Nw 185th St, Edmond, OK 73012-9795 | 2020-10-15 |
| 1730798117 | Healing Minds Counseling LLC | Community/Behavioral Health | 5300 N Meridian Ave Ste 11, Oklahoma City, OK 73112-2179 | 2020-07-30 |
| 1477170322 | Glostars LLC | Community/Behavioral Health | 19704 Vivace Dr, Edmond, OK 73012-5232 | 2020-06-26 |
| 1780201798 | Canadian County Collaborative LLC | Community/Behavioral Health | 1703 Professional Cir Ste 201, Yukon, OK 73099-6498 | 2020-06-26 |
| 1235754458 | New Life Counseling Center | Community/Behavioral Health | 1206 N Hwy 81, Duncan, OK 73533-1790 | 2020-06-12 |
| 1770108946 | Meadow Hazelhoff Counseling, LLC | Community/Behavioral Health | 9524 Conners Way, Mcloud, OK 74851-8668 | 2020-06-12 |
| 1407477920 | Keetoowah Economic Development | Community/Behavioral Health | 16414 W 760 Rd, Tahlequah, OK 74464-1675 | 2020-05-06 |
| 1992336481 | Share More Ctc, LLC | Community/Behavioral Health | 2000 N Broadway St Ste B, Moore, OK 73160-4416 | 2020-02-03 |
| 1356981138 | Grand Lake Mental Health Center Inc | Community/Behavioral Health | 2225 N Union, Ponca City, OK 74601-1536 | 2020-01-09 |
| 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.