MONTGOMERY CARE CENTER NPI 1679154009

NPI Information

NPI: 1679154009
Provider Name: MONTGOMERY CARE CENTER
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
321 S BOSTON AVE STE 300
TULSA, OK
ZIP 74103
Phone: (720) 472-1938
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MONTGOMERY CARE CENTER is a rehabilitation and substance use disorder clinic center in Tulsa, OK. MONTGOMERY CARE CENTER NPI is 1679154009. The provider is registered as an organization entity type.

The provider's business location address is:

321 S BOSTON AVE STE 300
TULSA, OK
ZIP 74103-311
Phone: (720) 472-1938

The provider's authorized official is Darryl Montgomery .
The authorized official title is Manager and has the following contact phone number (720) 472-1938.

The enumeration date for this NPI number is 4/17/2021 and was last updated on 4/17/2021.

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	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes
2	324500000X	Substance Abuse Rehabilitation Facility				No

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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