SOUTHERN OKLAHOMA TREATMENT SERVICES, INC.; NPI #1730258526

Contact Information

SOUTHERN OKLAHOMA TREATMENT SERVICES, INC.

106 NORTH BURRIS STREET
TISHOMINGO, OK 73460

Phone: 580-371-3672
Fax: 580-371-3651
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Mental Health (Including Community Mental Health Center)	261QM0801X	B4[14]	Community Mental Health Center

Indicates primary specialty

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

NPI Number 1730258526

LBN Legal business name SOUTHERN OKLAHOMA TREATMENT SERVICES, INC.

Authorized official MILTON EVANS - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/07/2006

Last updated 11/05/2009 - About 17 years ago

Identifiers

Medicaid

200049040 H

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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