SOUTHEASTERN OKLAHOMA FAMILY SERVICES, INC. (NPI# 1750611885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750611885 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN OKLAHOMA FAMILY SERVICES, INC. |
| Other Organization Name | NORTHFORK RESIDENTIAL CARE |
| Practice Address |
Old Hwy 69 Texanna Road Chectoah OK 74426 |
| Practice Telephone | 5803713672 |
| Mailing Telephone | 9186897416 |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2010-01-13 |
| Authorized Official Name | VIRGINIA RAGAN (VP OF OPERATIONS) |
| Authorized Official Telephone | 5803713672 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Northfork Residential Care | Doing Business As Name - Organization |
| 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 |
| 1710228853 | Southeastern Oklahoma Family Services, Inc. | Community/Behavioral Health | 605 1st Street, Madill, OK 73446 | 2013-03-14 |
| 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 |
| 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 |
OLD HWY 69 TEXANNA ROAD |
| City | CHECTOAH |
| State | OK |
| Zip Code | 74426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922648187 | Michael Carter | Technician | 225 Viteo Guest Ave, Checotah, OK 74426 | 2020-01-15 |
| 1679051122 | Axxess Home Care, Inc. | Home Health | 206 W Gentry Ave, Checotah, OK 74426 | 2018-08-06 |
| 1730518937 | Carol Grover | Counselor | .113653 Hwy 69, Checotah, OK 74426 | 2013-11-07 |
| 1376884312 | Southeastern Oklahoma Family Services, Inc | Community/Behavioral Health | Route 2 Box 1542, Checotah, OK 74426 | 2013-03-14 |
| 1336425156 | Geina A Motley | Counselor | Rt 2 Box 1542, Checotah, OK 74426 | 2011-10-25 |
| 1538301205 | Jamie Ann Lyons | Social Worker | 427276 Highway 266, Checotah, OK 74426 | 2009-03-27 |
| 1831371962 | Heath Bryan Coleman, Dds of Oklahoma II, Pllc | Dentist | 100 N W 9th St, Checotah, OK 74426 | 2007-11-30 |
| 1396811931 | Joseph M Meador | Dentist | 103 Sw 1st, Checoyah, OK 74426 | 2006-11-27 |
| 1891861449 | Sarah Emilee Wood | Family Medicine | 615 S Broadway, Checotah, OK 74426 | 2006-11-27 |
| 1073629176 | Mitchell Dean Myers | Dentist | 404 Sw 2nd, Checotah, OK 74426 | 2006-08-22 |
| Find all providers in zip 74426 | ||||
| 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.