OSAGE NATION PRT NPI 1710240825

NPI Information

  • NPI: 1710240825
  • Provider Name: OSAGE NATION PRT
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • CLIA Number: 37D2315641
  • Address: 1011 GRANDVIEW AVE
    PAWHUSKA, OK
    ZIP 74056
  • Phone: (918) 287-5420

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NPI Details

OSAGE NATION PRT is a substance abuse rehabilitation facility in Pawhuska, OK. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. OSAGE NATION PRT NPI is 1710240825. The provider is registered as an organization entity type.

The provider's business location address is:

1011 GRANDVIEW AVE
PAWHUSKA, OK
ZIP 74056-023
Phone: (918) 287-5420
Fax: (918) 287-3721

The provider's authorized official is Louis Gray .
The authorized official title is Coordinator and has the following contact phone number (918) 287-5420.

The CLIA number assigned to this NPI record is 37D2315641 - other - tribal opt behavioral hlt with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/22/2012 and was last updated on 6/22/2012.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation Facility109OKLAHOMAYes

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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