JIMMY SELANDERS NPI 1265821102

NPI Information

NPI: 1265821102
Provider Name: JIMMY SELANDERS
Classification: Clinic/Center - 261QM0801X
Entity Type: Individual

Specialization: Mental Health (Including Community Mental Health Center)

Address:
32300 S 625 RD
GROVE, OK
ZIP 74344
Phone: (918) 786-2930
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Jimmy Selanders is a mental health (including community mental health center) clinic center in Grove, OK. Jimmy Selanders NPI is 1265821102. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

32300 S 625 RD
GROVE, OK
ZIP 74344-285
Phone: (918) 786-2930
Fax: (918) 786-5985

The enumeration date for this NPI number is 1/15/2015 and was last updated on 1/15/2015.

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)	200129910A	OKLAHOMA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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