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STATE OF OKLAHOMA NPI 1760481899


NPI Information

NPI: 1760481899
Provider Name: STATE OF OKLAHOMA

Doing Business As: JIM TALIAFERRO COMMUNITY MENTAL HEALTH CENTER

Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization
Address:
602 SW 38TH STREET
LAWTON, OK
ZIP 73505
Phone: (580) 248-5780
Get Directions

STATE OF OKLAHOMA is a psychiatric hospital in Lawton, OK. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. STATE OF OKLAHOMA NPI is 1760481899. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Jim Taliaferro Community Mental Health Center.

The provider's business location address is:

602 SW 38TH STREET
LAWTON, OK
ZIP 73505-912
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 7/20/2005 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatry0005111OKLAHOMANo
2283Q00000XPsychiatric HospitalNo
3283Q00000XPsychiatric Hospital0005111OKLAHOMAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100688870AMEDICAIDOKLAHOMA
2100700660AMEDICAIDOKLAHOMA
3100677270AMEDICAIDOKLAHOMA
41007558860AMEDICAIDOKLAHOMA
5100706940LMEDICAIDOKLAHOMA

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: 4/28/2024

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