SOUTHEASTERN OKLAHOMA FAMILY SERVICES NPI 1801133236

NPI Information

NPI: 1801133236
Provider Name: SOUTHEASTERN OKLAHOMA FAMILY SERVICES
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization

CLIA Number: 37D2018354

Address:
1501 N WASHINGTON AVE
DURANT, OK
ZIP 74701
Phone: (580) 931-3008
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SOUTHEASTERN OKLAHOMA FAMILY SERVICES is a community based residential treatment facility mental illness in Durant, OK. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. SOUTHEASTERN OKLAHOMA FAMILY SERVICES NPI is 1801133236. The provider is registered as an organization entity type.

The provider's business location address is:

1501 N WASHINGTON AVE
DURANT, OK
ZIP 74701-127
Phone: (580) 931-3008

The provider's authorized official is Virginia Ragan .
The authorized official title is Ceo and has the following contact phone number (580) 931-3008.

The CLIA number assigned to this NPI record is 37D2018354 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/4/2013 and was last updated on 6/8/2017.

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
1	320800000X	Community Based Residential Treatment Facility, Mental Illness				Yes

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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