OKLAHOMA FAMILIES FIRST INC NPI 1790887602

NPI Information

NPI: 1790887602
Provider Name: OKLAHOMA FAMILIES FIRST INC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 37D2146256

Address:
2015 W BROADWAY ST STE 51A
ARDMORE, OK
ZIP 73401
Phone: (580) 226-9388
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OKLAHOMA FAMILIES FIRST INC is a mental health (including community mental health center) clinic center in Ardmore, OK. OKLAHOMA FAMILIES FIRST INC NPI is 1790887602. The provider is registered as an organization entity type.

The provider's business location address is:

2015 W BROADWAY ST STE 51A
ARDMORE, OK
ZIP 73401-501
Phone: (580) 226-9388
Fax: (580) 226-9395

The provider's authorized official is Stephanie Wilson .
The authorized official title is Qa/ur Director and has the following contact phone number (405) 360-2133.

The CLIA number assigned to this NPI record is 37D2146256 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/1/2006 and was last updated on 4/26/2021.

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
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

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
1	100744520 B	MEDICAID	OKLAHOMA

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

NPI Synchronization or Removal

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