LOOSEN CENTER NPI 1972762235

NPI Information

NPI: 1972762235
Provider Name: LOOSEN CENTER
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
6TH AND TEXAS
OKARCHE, OK
ZIP 73762
Phone: (405) 263-4658
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LOOSEN CENTER is an intermediate care facility mentally retarded in Okarche, OK. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. LOOSEN CENTER NPI is 1972762235. The provider is registered as an organization entity type.

The provider's business location address is:

6TH AND TEXAS
OKARCHE, OK
ZIP 73762-245
Phone: (405) 263-4658
Fax: (405) 263-4718

The provider's authorized official is Jim Obrien .
The authorized official title is Executive Director and has the following contact phone number (405) 263-4658.

The enumeration date for this NPI number is 6/3/2008 and was last updated on 6/3/2008.

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
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities		315P00000X	OKLAHOMA	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	100771890A	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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