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PARKSIDE INC. NPI 1851327464


NPI Information

NPI: 1851327464
Provider Name: PARKSIDE, INC.

Other Name: PARKSIDE OUTPATIENT

Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization
Address:
1620 E 12TH ST
TULSA, OK
ZIP 74120
Phone: (918) 582-2131
Get Directions

PARKSIDE, INC. is a psychiatric hospital in Tulsa, 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. PARKSIDE, INC. NPI is 1851327464. The provider is registered as an organization entity type.
The provider Other Name Is Parkside Outpatient.

The provider's business location address is:

1620 E 12TH ST
TULSA, OK
ZIP 74120-407
Phone: (918) 582-2131

The provider's authorized official is Saunya D Moore .
The authorized official title is Cfo and has the following contact phone number (918) 582-2131.

The enumeration date for this NPI number is 6/24/2006 and was last updated on 10/31/2012.


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
1261QM0850XClinic/CenterAdult Mental Health2261OKLAHOMANo
2261QM0855XClinic/CenterAdolescent and Children Mental Health2261OKLAHOMANo
3283Q00000XPsychiatric Hospital2261OKLAHOMAYes

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
1A00174120OTHEROKLAHOMACHAMPUS
2000374005-001OTHEROKLAHOMABC/BS
3=========002OTHEROKLAHOMATRICARE
4100738360BMEDICAIDOKLAHOMA
5730703797MEDICARE ID-TYPE UNSPECIFIEDOKLAHOMA
6374021MEDICARE ID-TYPE UNSPECIFIEDOKLAHOMA
7100738360CMEDICAIDOKLAHOMA

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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