Jim Taliaferro Cmhc in Altus - Community/behavioral Health
Jim Taliaferro Cmhc - NPI 1588708614
Jim Taliaferro Cmhc is a Community/behavioral Health in Altus, Oklahoma. Jim Taliaferro Cmhc practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Jim Taliaferro Cmhc is 1588708614. The last update date is 2011-06-16.
Jim Taliaferro Cmhc's current location address is 118 S. Main Street, Altus, Oklahoma. You can contact this provider via phone number 5802485780 and fax number 5803533202. The mailing address for Jim Taliaferro Cmhc is 118 S. Main Street, Altus, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jim Taliaferro Cmhc |
|---|---|
| Address | 118 S. Main Street, Altus, Oklahoma |
| Phone Number | 5802485780 |
| Fax Number | 5803533202 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Ototivo Brenda |
| Credentials | LBP, LADC |
| Telephone Number | 5802485780 |
NPI Number Detail
| NPI Number | 1588708614 |
|---|---|
| Provider Enumeration Date | 2007-02-20 |
| Last Updated Date | 2011-06-16 |
Provider Mailing Address Detail
| Address | 118 S. Main Street |
|---|---|
| City | Altus |
| State | Oklahoma (OK) |
| Post Code | 735213128 |
| Phone Number | 5802485780 |
| Fax Number | 5803533202 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100706940K | OK | -- | |
| 100706940B | OK | -- |
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What is the unique 10-digit identifier code issued to Jim Taliaferro Cmhc by the Centers for Medicare & Medicaid Services?
The Jim Taliaferro Cmhc has been assigned the NPI (National Provider Identifier) 1588708614 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jim Taliaferro Cmhc?
The Jim Taliaferro Cmhc is physically situated at 118 S. Main Street, in the city of Altus, state of OK, with the postal code 735213128.
What is Jim Taliaferro Cmhc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jim Taliaferro Cmhc's area of specialization is Community/behavioral Health, and the corresponding taxonomy code that categorizes this field of practice is 251S00000X.
When did Jim Taliaferro Cmhc receive its 1588708614 assignment?
The Jim Taliaferro Cmhc was assigned its 1588708614 on 2007-02-20, which is the date when this unique identifier was issued to the organization.
When was the information regarding Jim Taliaferro Cmhc most recently updated?
The details pertaining to the Jim Taliaferro Cmhc, including its address, specialty, and other relevant information, were last refreshed on 2011-06-16.