PROVIDENCE SERVICE CORPORATION NPI 1821003658

NPI Information

NPI: 1821003658
Provider Name: PROVIDENCE SERVICE CORPORATION
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Address:
4645 W GORE BLVD
SUITE 5
LAWTON, OK
ZIP 73505
Phone: (580) 355-6800
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PROVIDENCE SERVICE CORPORATION is a public health or welfare in Lawton, OK. PROVIDENCE SERVICE CORPORATION NPI is 1821003658. The provider is registered as an organization entity type.

The provider's business location address is:

4645 W GORE BLVD
SUITE 5
LAWTON, OK
ZIP 73505-041
Phone: (580) 355-6800

The provider's authorized official is Aglaia 'alexis' Martin .
The authorized official title is Therapist and has the following contact phone number (580) 355-6800.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 8/22/2020.

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	251K00000X	Public Health or Welfare		2560	OKLAHOMA	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: 11/14/2023

NPI Synchronization or Removal

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