National Provider Identifier Database

SOUTHERN OKLAHOMA TREATMENT SERVICES INC
Mental Health (Including Community Mental Health Center)


Contact Information

SOUTHERN OKLAHOMA TREATMENT SERVICES, INC.
106 NORTH BURRIS STREET
TISHOMINGO, OK73460
Phone: 580-371-3672
Fax: 580-371-3651
Website:
Specialty Taxonomy Code
* Mental Health (Including Community Mental Health Center) 261QM0801X

* Indicates primary specialty

NPI Profile & details for SOUTHERN OKLAHOMA TREATMENT SERVICES, INC.

NPI Number 1730258526
Legal business name
LBN
SOUTHERN OKLAHOMA TREATMENT SERVICES, INC.
Authorized official MILTON EVANS - (CEO)
Entity Organization
Organization subpart No
Enumeration date 11/07/2006
Last updated 11/05/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • OK Medicaid: 200049040 H

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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