SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM NPI 1710275201

NPI Information

  • NPI: 1710275201
  • Provider Name: SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM
  • Classification: Foster Care Agency - 253J00000X
  • Entity Type: Organization
  • Address: 1013 E 66TH PL
    TULSA, OK
    ZIP 74136
  • Phone: (918) 293-2500

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NPI Details

SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM is a foster care agency in Tulsa, OK. The provider is a Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as 24-hour substitute care for children outside their own homes. Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM NPI is 1710275201. The provider is registered as an organization entity type.

The provider's business location address is:

1013 E 66TH PL
TULSA, OK
ZIP 74136-701
Phone: (918) 293-2500
Fax: (918) 492-2075

The provider's authorized official is Mike Kistler .
The authorized official title is Ceo and has the following contact phone number (918) 492-8200.

The enumeration date for this NPI number is 7/18/2011 and was last updated on 7/18/2011.

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
1253J00000XFoster Care Agency4073OKLAHOMAYes

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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