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PROVIDENCE SERVICE CORPORATION OF OKLAHOMA NPI 1487726170


NPI Information

NPI: 1487726170
Provider Name: PROVIDENCE SERVICE CORPORATION OF OKLAHOMA

Doing Business As: PROVIDENCE OF OKLAHOMA

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
931 ARLINGTON ST STE 2
ADA, OK
ZIP 74820
Phone: (580) 332-6851
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PROVIDENCE SERVICE CORPORATION OF OKLAHOMA is a mental health (including community mental health center) clinic center in Ada, OK. PROVIDENCE SERVICE CORPORATION OF OKLAHOMA NPI is 1487726170. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence Of Oklahoma.

The provider's business location address is:

931 ARLINGTON ST STE 2
ADA, OK
ZIP 74820-025
Phone: (580) 332-6851

The provider's authorized official is James M Dugan .
The authorized official title is Controller and has the following contact phone number (520) 747-6600.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 8/22/2020.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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: 5/5/2024

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