SOUTHEASTERN OKLAHOMA FAMILY SERVICES, INC. (NPI# 1710228853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710228853 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN OKLAHOMA FAMILY SERVICES, INC. |
| Practice Address |
605 1st Street Madill OK 73446 |
| Mailing Address |
Po Box 48 Mead OK 73449-0048 |
| Practice Telephone | 5807953794 |
| Practice Fax Number | 5807953170 |
| Mailing Telephone | 5807459610 |
| Mailing Fax Number | 5807459650 |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2013-03-14 |
| Authorized Official Name | SHARON MURPHY (VP OF ADMIN SERVICES) |
| Authorized Official Telephone | 5807459610 |
| 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 | 100708380 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811472137 | Southeastern Oklahoma Family Services, Inc. | Clinic/Center | 701 C St, Elgin, OK 73538-9080 | 2018-10-02 |
| 1841618097 | Southeastern Oklahoma Family Services, Inc. | Community/Behavioral Health | 771 W 13th St, Atoka, OK 74525-3712 | 2014-04-04 |
| 1093131328 | Southeastern Oklahoma Family Services, Inc. | Community/Behavioral Health | 127 North 3rd Avenue, Durant, OK 74701-0000 | 2014-03-11 |
| 1790042117 | Southeastern Oklahoma Family Services, Inc. | Community/Behavioral Health | 34 N Washington St, Ardmore, OK 73401-7013 | 2012-04-23 |
| 1093072126 | Southeastern Oklahoma Family Services, Inc. | Community/Behavioral Health | 2600 W Broadway Ave Ste 2, Sulphur, OK 73086-6510 | 2012-04-13 |
| 1255648580 | Southeastern Oklahoma Family Services, Inc. | Clinic/Center | 39 East Foley, Eufaula, OK 74432 | 2010-09-08 |
| 1750611885 | Southeastern Oklahoma Family Services, Inc. | Community/Behavioral Health | Old Hwy 69 Texanna Road, Chectoah, OK 74426 | 2010-01-13 |
| 1447587787 | Southeastern Oklahoma Family Services, Inc. | Clinic/Center | 39 East Foley Ave, Eufuala, OK 74432-2805 | 2009-11-06 |
| 1346575883 | Southeastern Oklahoma Family Services, Inc. | Community/Behavioral Health | 115 W Broadway St Ste 401, Ardmore, OK 73401-6210 | 2009-10-15 |
| 1194104109 | Southeastern Oklahoma Family Services, Inc. | Community/Behavioral Health | 716 S 10th St, Duncan, OK 73533-5278 | 2015-05-22 |
| Street Address |
605 1ST STREET |
| City | MADILL |
| State | OK |
| Zip Code | 73446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104306943 | Jennifer Duncan | Case Manager/Care Coordinator | 605 S. 1st, Madill, OK 73446 | 2018-08-21 |
| 1285975581 | Madill Dental Company | Dentist | 804 S 1st St Suite C, Madill, OK 73446 | 2013-03-12 |
| 1174812879 | Lori Ann Black | Counselor | 109 South 1st, Madill, OK 73446 | 2011-04-04 |
| 1598090318 | Marshall County Ems District | Ambulance | Four Hospital Drive, Madill, OK 73446 | 2009-10-13 |
| 1598969800 | Tanya L Magness | Counselor | 300 E Wolf St, Madill, OK 73446 | 2007-06-12 |
| 1629100524 | Stacy James Rendon | Occupational Therapy Assistant | 210 Brookside Drive, Madill, OK 73446 | 2007-03-09 |
| 1194881367 | Carren D Tshirlig | Occupational Therapist | Hwy 99 S, Madill, OK 73446 | 2006-12-29 |
| 1912000886 | Courtney Thomas | Physical Therapy Assistant | 310 Brookside Dr., Madill, OK 73446 | 2006-09-06 |
| 1700993797 | Wapiti Orthopedics PC | Orthopaedic Surgery | #1 Hospital Drive, Madill, OK 73446 | 2006-08-24 |
| 1639192727 | Baptist Healthcare of Oklahoma, Inc | Home Health | 1 One Hospital Drive, Madill, OK 73446 | 2006-07-26 |
| Find all providers in zip 73446 | ||||
| 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 |
|---|---|---|---|---|
| 1447666383 | Koinonia Counseling Services, Inc. | Community/Behavioral Health | 19990 Crowson Rd, Madill, OK 73446-9646 | 2014-07-10 |
| 1871798462 | Counseling, Inc. | Community/Behavioral Health | 800 Cedar Dr, Madill, OK 73446-1062 | 2007-06-15 |
| 1487292884 | Southern Oklahoma Treatment Services, Inc. | Community/Behavioral Health | 605 S 1st St, Madill, OK 73446-3807 | 2019-12-16 |
| 1407154933 | Project Impact Oklahoma LLC | Community/Behavioral Health | 102 N 1st St, Madill, OK 73446-2202 | 2011-03-08 |
| 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 | ||||
Please comment or provide details below to improve the information on SOUTHEASTERN OKLAHOMA FAMILY SERVICES, INC..
| 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.