State Of Oklahoma in Fort Supply - Psychiatric Hospital
State Of Oklahoma - NPI 1922171701
State Of Oklahoma is a Psychiatric Hospital in Fort Supply, Oklahoma. State Of Oklahoma practices all healthcare services and medical treatments related to Psychiatric Hospital. The NPI Number for State Of Oklahoma is 1922171701. The last update date is 2023-12-08.
State Of Oklahoma's current location address is Po Box 1, Fort Supply, Oklahoma. You can contact this provider via phone number 5807662311 and fax number 5807662017. The mailing address for State Of Oklahoma is Po Box 1, Fort Supply, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | State Of Oklahoma |
|---|---|
| Address | Po Box 1, Fort Supply, Oklahoma |
| Phone Number | 5807662311 |
| Fax Number | 5807662017 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Nickelson Autumn |
| Credentials | LADC/LCSW |
| Telephone Number | 5805713231 |
NPI Number Detail
| NPI Number | 1922171701 |
|---|---|
| Provider Enumeration Date | 2006-11-17 |
| Last Updated Date | 2023-12-08 |
Provider Mailing Address Detail
| Address | Po Box 1 |
|---|---|
| City | Fort Supply |
| State | Oklahoma (OK) |
| Post Code | 738410001 |
| Phone Number | 5807662311 |
| Fax Number | 5807662017 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric Hospital |
|---|---|
| Taxonomy | 283Q00000X |
|
Definition: An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100704080A | OK | -- | |
| 100704080B | OK | -- |
Post Comment/ Review Below
What is the unique identification code assigned to State Of Oklahoma by the Centers for Medicare & Medicaid Services?
The State Of Oklahoma has been issued the NPI (National Provider Identifier) 1922171701. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the State Of Oklahoma's physical address?
The State Of Oklahoma is physically located at Po Box 1, in the city of Fort Supply, OK, with the postal code 738410001.
What is the area of specialization for State Of Oklahoma, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for State Of Oklahoma is Psychiatric Hospital, and the corresponding taxonomy code that categorizes this area of expertise is 283Q00000X.
When did the State Of Oklahoma receive its 1922171701?
The State Of Oklahoma was issued its 1922171701 on 2006-11-17, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to State Of Oklahoma most recently updated or revised?
The information pertaining to State Of Oklahoma, including its address, specialty, and other relevant details, was last updated or revised on 2023-12-08.