JIM TALIAFERRO CMHC NPI 1588708614

NPI Information

NPI: 1588708614
Provider Name: JIM TALIAFERRO CMHC
Classification: Clinic/Center - 261QM0801X
Specialization: Mental Health (Including Community Mental Health Center)
Entity Type: Organization
Address: 118 S. MAIN STREET
ALTUS, OK
ZIP 73521
Phone: (580) 248-5780

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NPI Details

JIM TALIAFERRO CMHC is a mental health (including community mental health center) clinic center in Altus, OK. JIM TALIAFERRO CMHC NPI is 1588708614. The provider is registered as an organization entity type.

The provider's business location address is:

118 S. MAIN STREET
ALTUS, OK
ZIP 73521-128
Phone: (580) 248-5780
Fax: (580) 353-3202

The provider's authorized official is Terri Lee .
The authorized official title is Executive Director and has the following contact phone number (580) 250-2640.

The enumeration date for this NPI number is 2/20/2007 and was last updated on 1/30/2024.

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	251S00000X	Community/Behavioral Health				No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	0005111	OKLAHOMA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100706940K	MEDICAID	OKLAHOMA
2	100706940B	MEDICAID	OKLAHOMA

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: 11/21/2025

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