YOUTHCARE OF OKLAHOMA (NPI# 1023398062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023398062 |
| Entity Type | Organization |
| Organization Name | YOUTHCARE OF OKLAHOMA |
| Practice Address |
11297 N 1976 Rd Elk City OK 73644-6002 |
| Practice Telephone | 5802254133 |
| Mailing Telephone | 5802254133 |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2011-09-12 |
| Authorized Official Name | BRANDI HAMILTON (PSRS) |
| Authorized Official Telephone | 5802254133 |
| Authorized Official Credential | BSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982901096 | Youthcare of Oklahoma | Community/Behavioral Health | 6301 E 41st St, Tulsa, OK 74135-6103 | 2011-02-25 |
| 1285943886 | Youthcare of Oklahoma | Exclusive Provider Organization | 3035 Nw 63rd St Ste 201, Oklahoma City, OK 73116-3606 | 2010-09-29 |
| 1831418086 | Youthcare of Oklahoma | Community/Behavioral Health | 3035 Nw 63rd St, Suite 201 North, Oklahoma City, OK 73116-3632 | 2010-05-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | YOUTHCARE OF OKLAHOMA | 1402 N Florence Ave, Claremore, OK 74017-3159 |
| Street Address |
11297 N 1976 RD |
| City | ELK CITY |
| State | OK |
| Zip Code | 73644-6002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245512367 | Brandi Lynn Hamilton | Behavioral Analyst | 11297 N 1976 Rd, Elk City, OK 73644-6002 | 2011-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700259918 | Marco Chavez | Peer Specialist | 2032 W. 7th Place, Elk City, OK 73644 | 2015-11-10 |
| 1932588811 | Erin Marie Sloan | Family Medicine | 1710 W 3rd St Ste 102, Elk City, OK 73644 | 2015-05-25 |
| 1649521568 | Michael Robinson Medical Clinic, LLC | Family Medicine | 1900 W. 2nd St, Suite A, Elk City, OK 73644 | 2012-10-02 |
| 1780913129 | Kathi Lee Henderson | Clinical Nurse Specialist | 1513 N Randall Ave, Elk City, OK 73644 | 2009-12-14 |
| 1700018330 | Tiffany Dawn Dupree | Obstetrics & Gynecology | 1800 West 1st, Suite 101, Elk City, OK 73644 | 2009-08-16 |
| 1538331483 | Farrina Steel | Community Health Worker | 3080 W. 3rd Street, Elk City, OK 73644 | 2008-04-01 |
| 1851586622 | Billy Charles Spurlock | Chiropractor | 1521 W 3rd St, Elk City, OK 73644 | 2007-09-13 |
| 1073736096 | Bruce Daniel Storm Jr. | Dentist | 300 N Garrett, Elk City, OK 73644 | 2007-04-10 |
| 1578681698 | Tiffany Shook | Case Manager/Care Coordinator | 306 Maverick Lane, Elk City, OK 73644 | 2007-03-27 |
| 1720152614 | Diversified Family Services Inc | Community/Behavioral Health | 1021 E Hwy 66, Elk City, OK 73644 | 2006-11-20 |
| Find all providers in zip 73644 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518316272 | Johnson Family Chiropractic Clinic | Preferred Provider Organization | 11914 N Pennsylvania Ave, Suite B3, Oklahoma City, OK 73120-7831 | 2016-06-03 |
| 1427455542 | Refresh Dentistry | Preferred Provider Organization | 732 W New Orleans St, Suite 132, Broken Arrow, OK 74011-1803 | 2014-12-04 |
| 1568885002 | Douglas Counseling | Preferred Provider Organization | 1 Buffalo Dr, Mcalester, OK 74501-4270 | 2014-02-03 |
| 1598198780 | Primary Care Physicians of Tulsa Region PC | Preferred Provider Organization | 8005 E 106th St, Tulsa, OK 74133-6600 | 2013-08-12 |
| 1528408523 | Altus Premier Health Clinic P.l.l.c. | Preferred Provider Organization | 304 S Park Ln Ste B, Altus, OK 73521-5754 | 2013-07-05 |
| 1083052724 | Creoaks Behavioral Health Services | Preferred Provider Organization | 2725 East Skelly Drive Ste. 202, Tulsa, OK 74105 | 2013-06-04 |
| 1427322361 | Blue and Red Dental LLC | Preferred Provider Organization | 2840 E 101st St, Tulsa, OK 74137-5601 | 2012-02-23 |
| 1265704183 | Parks Family Dental | Preferred Provider Organization | 1520 E. Main Street, Tishomingo, OK 73460 | 2012-02-08 |
| 1205105160 | Christi Miller | Preferred Provider Organization | 3337 Sw 48th St, Oklahoma City, OK 73119-4328 | 2011-12-22 |
| 1437470242 | New Beginnings Group Home | Preferred Provider Organization | 817 Ne 61st St, Oklahoma City, OK 73105-6406 | 2010-06-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.