MILLENNIUM COMMUNITY SERVICES, LLC (NPI# 1053742890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053742890 |
| Entity Type | Organization |
| Organization Name | MILLENNIUM COMMUNITY SERVICES, LLC |
| Practice Address |
221 W 3rd St Hobart OK 73651-3603 |
| Mailing Address |
3816 Shadowridge Dr Norman OK 73072-5308 |
| Practice Telephone | 8885737792 |
| Practice Fax Number | 8887538162 |
| Mailing Telephone | 8885737792 |
| Mailing Fax Number | 8887538162 |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2019-08-11 |
| Authorized Official Name | DR. WADE L HAMIL (CEO) |
| Authorized Official Telephone | 4055739905 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200129170D | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669721288 | Millennium Community Services, LLC | Community/Behavioral Health | 2727 S Division St, Guthrie, OK 73044-6804 | 2012-08-29 |
| 1699395491 | Millennium Community Services, LLC | Clinic/Center | 23 N 8th St, Duncan, OK 73533-4601 | 2020-04-21 |
| 1649780131 | Millennium Community Services, LLC | Clinic/Center | 503 S Central Ave, Idabel, OK 74745-6061 | 2017-10-10 |
| 1285161679 | Millennium Community Services, LLC | Clinic/Center | 245 W Wilshire Blvd Ste A, Oklahoma City, OK 73116-7754 | 2017-05-16 |
| 1669809893 | Millennium Community Services, LLC | Clinic/Center | 1212 Reynolds Ave, Poteau, OK 74953-4724 | 2013-10-02 |
| 1477803559 | Millennium Community Services, LLC | Community/Behavioral Health | 908 Dallas St, Talihina, OK 74571-1268 | 2012-09-14 |
| 1396927497 | Millennium Community Services, LLC | Clinic/Center | 448 36th Ave Nw Ste 101, Norman, OK 73072-4743 | 2007-11-29 |
| Street Address |
221 W 3RD ST |
| City | HOBART |
| State | OK |
| Zip Code | 73651-3603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295017614 | Jennifer Noelle Pettijohn | Social Worker | 221 W 3rd St, Hobart, OK 73651-3603 | 2011-09-12 |
| 1881144921 | Ashley Smith | Counselor | 221 W 3rd St, Hobart, OK 73651-3603 | 2016-10-13 |
| 1316395148 | Susan Gayle Sanchez | Case Manager/Care Coordinator | 221 W 3rd St, Hobart, OK 73651-3603 | 2016-06-02 |
| 1477941037 | Shanda Fesmire | Counselor | 221 W 3rd St, Hobart, OK 73651-3603 | 2015-01-06 |
| 1013348846 | Millennium Medical Services, L.L.C. | Counselor | 221 W 3rd St, Hobart, OK 73651-3603 | 2013-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356863716 | Hobart Family Dentistry Pllc | Dentist | 110 S. Broadway, Hobart, OK 73651 | 2017-07-07 |
| 1134536915 | Patricia S Rouse | Social Worker | 216 South Main Strett, Hobart, OK 73651 | 2014-07-14 |
| 1508925462 | Kiowa County Hospital Authority | Registered Nurse | 702 N Hill, Hobart, OK 73651 | 2006-12-07 |
| 1578663977 | Sandy Jay Penner | Nurse Anesthetist, Certified Registered | 429 West Elm Street., Hobart, OK 73651 | 2006-09-25 |
| 1467411645 | Craig Beaty Moore | Family Medicine | 125 North Broadway, Hobart, OK 73651 | 2006-03-17 |
| 1255823282 | Kiowa County Hospital Authority | Clinic/Center | 401 W Forest Ln, Suites 200 and 300, Hobart, OK 73651 | 2018-06-05 |
| 1992256606 | Searchlight Center Inc | Nursing Care | 902 S Park Rd, Hobart, OK 73651 | 2016-10-18 |
| 1629162425 | Jay Lynn Kruska | Dentist | 125 North Broadway, Hobart, OK 73651 | 2006-10-03 |
| 1790718567 | Aaa Pharmacy Inc | Pharmacy | 304 C S Broadway, Hobart, OK 73651-0586 | 2006-07-07 |
| 1700824935 | Karl Edward Gubser | Dentist | 700 N Hill St, Hobart, OK 73651-1600 | 2006-06-02 |
| Find all providers in zip 73651 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870742 | Sequelcare of Oklahoma, LLC | Clinic/Center | 6218 S Lewis Ave Ste 118, Tulsa, OK 74136-1018 | 2020-10-28 |
| 1649870890 | M & M Counseling Group, LLC | Clinic/Center | 207 S Czech Hall Rd, Yukon, OK 73099-6851 | 2020-10-27 |
| 1992303721 | Misty Watkins | Clinic/Center | 1601 Sw Parkridge Blvd Ste 200, Lawton, OK 73505-7564 | 2020-10-14 |
| 1295342046 | Integrative Healthcare Solutions LLC | Clinic/Center | 2227 E 8th St, Tulsa, OK 74104-3237 | 2020-09-25 |
| 1235744020 | Strength of A Warrior Counseling Services LLC | Clinic/Center | 4516 Se 25th St, Del City, OK 73115-4114 | 2020-09-09 |
| 1609488253 | Alexie Foster, LLC | Clinic/Center | 16802 S 301st West Ave, Bristow, OK 74010-2265 | 2020-08-17 |
| 1306455068 | Restore Family Counseling, LLC | Clinic/Center | 100 W. Wilshire, Suite #c3, Oklahoma City, OK 73116 | 2020-07-29 |
| 1245855857 | Dragonfly Psychotherapy | Clinic/Center | 2942 Ne Orlie Dr, Forest Park, OK 73121-2436 | 2020-06-09 |
| 1508480872 | Maria Nancy Martinez | Clinic/Center | 5350 S Western Ave Ste 217, Oklahoma City, OK 73109-4525 | 2020-06-03 |
| 1649894015 | Miranda Rackers | Clinic/Center | 1308 E Mckinley Ave, Sapulpa, OK 74066-4824 | 2020-06-02 |
| 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.