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STATE OF OKLAHOMA NPI 1578580916


NPI Information

NPI: 1578580916
Provider Name: STATE OF OKLAHOMA

Doing Business As: TULSA CENTER FOR BEHAVIORAL HEALTH

Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization
Address:
2323 S HARVARD AVE
TULSA, OK
ZIP 74114
Phone: (918) 293-2140
Get Directions

STATE OF OKLAHOMA is a psychiatric hospital in Tulsa, OK. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. STATE OF OKLAHOMA NPI is 1578580916. The provider is registered as an organization entity type.
The provider Is Doing Business As Tulsa Center For Behavioral Health.

The provider's business location address is:

2323 S HARVARD AVE
TULSA, OK
ZIP 74114-301
Phone: (918) 293-2140
Fax: (918) 712-7164

The provider's authorized official is Autumn Nickelson .
The authorized official title is Interim Executive Director and has the following contact phone number (580) 256-8615.

The enumeration date for this NPI number is 7/15/2006 and was last updated on 9/6/2023.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2261QM2500XClinic/CenterMedical SpecialtyNo
3283Q00000XPsychiatric HospitalYes

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
1100707460MEDICAIDOKLAHOMA

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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