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ABSENTEE SHAWNEE COUNSELING SERVICES NPI 1376742585


NPI Information

NPI: 1376742585
Provider Name: ABSENTEE SHAWNEE COUNSELING SERVICES
Classification: Rehabilitation, Substance Use Disorder Unit - 276400000X
Entity Type: Organization
Address:
1301 SE 59TH ST
OKLAHOMA CITY, OK
ZIP 73129
Phone: (405) 672-3033
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ABSENTEE SHAWNEE COUNSELING SERVICES is a rehabilitation substance use disorder unit in Oklahoma City, OK. The provider is a distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) ABSENTEE SHAWNEE COUNSELING SERVICES NPI is 1376742585. The provider is registered as an organization entity type.

The provider's business location address is:

1301 SE 59TH ST
OKLAHOMA CITY, OK
ZIP 73129-307
Phone: (405) 672-3033
Fax: (405) 672-8371

The provider's authorized official is Dan Cross .
The authorized official title is Executive Director and has the following contact phone number (405) 672-3033.

The enumeration date for this NPI number is 7/17/2007 and was last updated on 1/24/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1276400000XRehabilitation, Substance Use Disorder UnitODMHSASOKLAHOMAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11417289356MEDICAIDOKLAHOMA
21538363320MEDICAIDOKLAHOMA
31639409626MEDICAIDOKLAHOMA
41518927664MEDICARE OSCAR/CERTIFICATIONOKLAHOMA
5D34587MEDICARE UPINOKLAHOMA
61750682001MEDICAIDOKLAHOMA
71376775775MEDICAIDOKLAHOMA

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: 4/28/2024

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