Clinton Lloyd Grimes in Boley - Peer Specialist
Clinton Lloyd Grimes - NPI 1073781589
Clinton Lloyd Grimes is a Peer Specialist in Boley, Oklahoma. Clinton Lloyd Grimes practices all healthcare services and medical treatments related to Peer Specialist. The NPI Number for Clinton Lloyd Grimes is 1073781589. The last update date is 2019-08-26.
Clinton Lloyd Grimes's current location address is 369026 Us Highway 62, Boley, Oklahoma. You can contact this provider via phone number 9186673367. The mailing address for Clinton Lloyd Grimes is 369026 Us Highway 62, Boley, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clinton Lloyd Grimes |
|---|---|
| Address | 369026 Us Highway 62, Boley, Oklahoma |
| Phone Number | 9186673367 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | BS |
NPI Number Detail
| NPI Number | 1073781589 |
|---|---|
| Provider Enumeration Date | 2008-02-19 |
| Last Updated Date | 2019-08-26 |
Provider Mailing Address Detail
| Address | 369026 Us Highway 62 |
|---|---|
| City | Boley |
| State | Oklahoma (OK) |
| Post Code | 74829 |
| Phone Number | 9186673367 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Peer Specialist |
|---|---|
| Taxonomy | 175T00000X |
|
Definition: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100685660A | OK | -- | |
| 100685660D | OK | -- |
Post Comment/ Review Below
What is the Clinton Lloyd Grimes's unique identification number?
The Clinton Lloyd Grimes has been assigned the NPI (National Provider Identifier) Number 1073781589 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Clinton Lloyd Grimes is physically located?
The Clinton Lloyd Grimes is physically situated at the following address: 369026 Us Highway 62, Boley, OK, 74829.
What is Clinton Lloyd Grimes's specialized field of practice, and what is the corresponding taxonomy classification code?
The Clinton Lloyd Grimes's area of specialization is Peer Specialist, and the corresponding taxonomy code that categorizes this field of practice is 175T00000X.
On what date did Clinton Lloyd Grimes receive its 1073781589 assignment from the Centers for Medicare & Medicaid Services?
The Clinton Lloyd Grimes was assigned its 1073781589 on 2008-02-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Clinton Lloyd Grimes most recently updated?
The details pertaining to the Clinton Lloyd Grimes, including its address, specialty, and other relevant information, were last refreshed on 2019-08-26.