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AMY POLGE NPI 1710264361


NPI Information

NPI: 1710264361
Provider Name: AMY POLGE

Doing Business As: OU PSYCHIATRY CLINIC

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
15007 E 88TH ST N
OWASSO, OK
ZIP 74055
Phone: (918) 638-0302
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AMY POLGE is a community behavioral health in Owasso, OK. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. AMY POLGE NPI is 1710264361. The provider is registered as an organization entity type.
The provider Is Doing Business As Ou Psychiatry Clinic.

The provider's business location address is:

15007 E 88TH ST N
OWASSO, OK
ZIP 74055-863
Phone: (918) 638-0302

The provider's authorized official is Ondria Gleason .
The authorized official title is Director and has the following contact phone number (918) 660-3511.

The enumeration date for this NPI number is 11/10/2011 and was last updated on 11/28/2011.


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
1251S00000XCommunity/Behavioral Health2653OKLAHOMAYes

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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