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MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA NPI 1699811802


NPI Information

NPI: 1699811802
Provider Name: MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
2530 S COMMERCE
BLDG A
ARDMORE, OK
ZIP 73401
Phone: (580) 223-5070
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MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA is a medical specialty clinic center in Ardmore, OK. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA NPI is 1699811802. The provider is registered as an organization entity type.

The provider's business location address is:

2530 S COMMERCE
BLDG A
ARDMORE, OK
ZIP 73401-519
Phone: (580) 223-5070
Fax: (580) 223-5617

The provider's authorized official is Robert E Lee .
The authorized official title is Executive Director and has the following contact phone number (580) 223-5070.

The enumeration date for this NPI number is 1/29/2007 and was last updated on 12/31/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical SpecialtyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100728830 OMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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