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Contact Information

SHADOW MOUNTAIN BEHAVIORAL HEALTH CARE SYSTEM, LLC
1027 E 66TH PL
TULSA, OK74136-3701
 Phone: 918-492-8200
 Fax: 918-493-3268
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric Residential Treatment Facility

323P00000X
Indicates primary specialty

NPI Profile & details for SHADOW MOUNTAIN BEHAVIORAL HEALTH CARE SYSTEM, LLC

NPI # 1982758538
LBN Legal business name SHADOW MOUNTAIN BEHAVIORAL HEALTH CARE SYSTEM, LLC
Authorized official STEVE FILTON - (SRVP CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 01/22/2007
Last updated 05/12/2011 - About 15 years ago
Identifiers
OK License # K8500227
OK Medicaid 200006820G
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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