Providence Service Corporation in Lawton - Public Health Or Welfare
Providence Service Corporation - NPI 1821003658
Providence Service Corporation is a Public Health Or Welfare in Lawton, Oklahoma. Providence Service Corporation practices all healthcare services and medical treatments related to Public Health Or Welfare. The NPI Number for Providence Service Corporation is 1821003658. The last update date is 2020-08-22.
Providence Service Corporation's current location address is 4645 W Gore Blvd, Lawton, Oklahoma. You can contact this provider via phone number 5803556800. The mailing address for Providence Service Corporation is 4645 W Gore Blvd, Lawton, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Providence Service Corporation |
|---|---|
| Address | 4645 W Gore Blvd, Lawton, Oklahoma |
| Phone Number | 5803556800 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | THERAPIST |
|---|---|
| Authorized Official Name | Martin 'Alexis' Aglaia |
| Credentials | LPC |
| Telephone Number | 5803556800 |
NPI Number Detail
| NPI Number | 1821003658 |
|---|---|
| Provider Enumeration Date | 2006-07-30 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4645 W Gore Blvd |
|---|---|
| City | Lawton |
| State | Oklahoma (OK) |
| Post Code | 735056041 |
| Phone Number | 5803556800 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Public Health Or Welfare |
|---|---|
| Taxonomy | 251K00000X |
| Licence No | 2560 |
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Definition: Government-funded agency providing population health, disease prevention, emergency preparedness and health education services. |
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What is the unique 10-digit identifier code issued to Providence Service Corporation by the Centers for Medicare & Medicaid Services?
The Providence Service Corporation has been assigned the NPI (National Provider Identifier) 1821003658 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Providence Service Corporation is located?
The Providence Service Corporation is situated at the following address: 4645 W Gore Blvd, Lawton, OK, 735056041.
What is the Providence Service Corporation's specialty and taxonomy code?
The Providence Service Corporation's specialty is Public Health Or Welfare, and the corresponding taxonomy code is 251K00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1821003658 to Providence Service Corporation?
The Centers for Medicare & Medicaid Services originally issued the 1821003658 to Providence Service Corporation on 2006-07-30.
When was the information regarding Providence Service Corporation most recently updated?
The details pertaining to the Providence Service Corporation, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.