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Contact Information

STATE OF OKLAHOMA
NORTHWEST CENTER FOR BEHAVIORAL HEALTH
124 E. SHERIDAN
KINGFISHER, OK73750
 Phone: 405-375-6377
 Fax: 405-375-6377
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for STATE OF OKLAHOMA

NPI # 1285707406
LBN Legal business name STATE OF OKLAHOMA
Authorized official TRUDY HOFFMAN - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/16/2006
Last updated 09/12/2013 - About 13 years ago
Identifiers
OK Medicaid 100646280B
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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