CLINTON ALBERT PRIMEAUX NPI 1699660134

NPI Information

  • NPI: 1699660134
  • Provider Name: CLINTON ALBERT PRIMEAUX
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 8151 HIGHWAY 177
    RED ROCK, OK
    ZIP 74651
  • Phone: (580) 723-4466

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NPI Details

Clinton Albert Primeaux is a peer specialist in Red Rock, OK. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Clinton Albert Primeaux NPI is 1699660134. 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:

8151 HIGHWAY 177
RED ROCK, OK
ZIP 74651-348
Phone: (580) 723-4466
Fax: (657) 375-8606

The enumeration date for this NPI number is 6/12/2025 and was last updated on 6/12/2025.

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
1175T00000XPeer SpecialistYes

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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