Jim Taliaferro Cmhc in Duncan - Community/behavioral Health
Jim Taliaferro Cmhc - NPI 1972648004
Jim Taliaferro Cmhc is a Community/behavioral Health in Duncan, Oklahoma. Jim Taliaferro Cmhc practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Jim Taliaferro Cmhc is 1972648004. The last update date is 2011-06-16.
Jim Taliaferro Cmhc's current location address is 411 Fowler Dr, Duncan, Oklahoma. You can contact this provider via phone number 5802485780 and fax number 5803533202. The mailing address for Jim Taliaferro Cmhc is 411 Fowler Dr, Duncan, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jim Taliaferro Cmhc |
|---|---|
| Address | 411 Fowler Dr, Duncan, 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 | 1972648004 |
|---|---|
| Provider Enumeration Date | 2007-02-20 |
| Last Updated Date | 2011-06-16 |
Provider Mailing Address Detail
| Address | 411 Fowler Dr |
|---|---|
| City | Duncan |
| State | Oklahoma (OK) |
| Post Code | 735332336 |
| 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 |
|---|---|---|---|
| 100706940C | OK | -- | |
| 100706940J | OK | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jim Taliaferro Cmhc by the Centers for Medicare & Medicaid Services?
The Jim Taliaferro Cmhc has been issued the NPI (National Provider Identifier) 1972648004, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jim Taliaferro Cmhc?
The Jim Taliaferro Cmhc is situated at 411 Fowler Dr, in the city of Duncan, state of OK, with the zip code 735332336.
What is Jim Taliaferro Cmhc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jim Taliaferro Cmhc is Community/behavioral Health, and the taxonomy code that classifies this field of practice is 251S00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1972648004 to Jim Taliaferro Cmhc?
The Jim Taliaferro Cmhc received its 1972648004 assignment from the Centers for Medicare & Medicaid Services on 2007-02-20.
When was the information pertaining to Jim Taliaferro Cmhc most recently updated or revised?
The details related to Jim Taliaferro Cmhc, including its address, specialty, and other relevant information, were last updated or revised on 2011-06-16.