CIMARRON VALLEY THERAPEUTIC SERVICE, INC. (NPI# 1164590790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164590790 |
| Entity Type | Organization |
| Organization Name | CIMARRON VALLEY THERAPEUTIC SERVICE, INC. |
| Practice Address |
1005 9th St Woodward OK 73801-3131 |
| Mailing Address |
Po Box 1041 Woodward OK 73802-1041 |
| Practice Telephone | 5802542886 |
| Practice Fax Number | 5802543548 |
| Mailing Telephone | 5802542886 |
| Mailing Fax Number | 5802543548 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | STEVE W. GATES (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 5802542886 |
| Authorized Official Credential | M.B.S., LBP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | K8600113 | OK | Residential Treatment Facilities |
| Street Address |
1005 9TH ST |
| City | WOODWARD |
| State | OK |
| Zip Code | 73801-3131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821134032 | Cimarron Valley Therapeutic Services, Inc. | Clinic/Center | 1005 9th St, Woodward, OK 73801-3131 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497370662 | Team Clinic Management Partners LLC | Clinic/Center | 914 Oak Ave, Woodward, OK 73801 | 2020-06-12 |
| 1720603996 | Team Clinic Management Partners LLC | Clinic/Center | 3801 34th St, Woodward, OK 73801 | 2020-06-12 |
| 1609069095 | Regional Chiropractic & Rehabilitation | Chiropractor | 1111 Hillcrest, Woodward, OK 73801 | 2007-08-20 |
| 1497963110 | Air Evac Ems Inc | Ambulance | 1620 Santa Fe St, Woodward, OK 73801 | 2007-05-18 |
| 1326260548 | Chiropractic Health Center | Chiropractor | 1123 Main Street, Woodward, OK 73801 | 2007-05-03 |
| 1700950201 | State of Oklahoma | Substance Abuse Rehabilitation Facility | 5050 Williams Avenue, Northwest Center for Behavioral Health, Woodward, OK 73801 | 2006-11-17 |
| 1801804521 | Richard D Kahoe | Psychologist | 1607 Main, Woodward, OK 73801 | 2006-08-04 |
| 1477578862 | Corley Mark Palmer | Internal Medicine | 900 17th St., Woodward Regional Hospital, Woodward, OK 73801 | 2006-07-13 |
| 1871520098 | L Ann Farrar | Nurse Anesthetist, Certified Registered | 900 17th Street, Woodward, OK 73801 | 2006-06-26 |
| 1093741704 | Leslie Anne Tevebaugh | Dentist | 1722 Main Street, Woodward, OK 73801 | 2006-06-24 |
| Find all providers in zip 73801 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962806158 | Woodward Youth Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1251 334th St, Woodward, IA 50276-7509 | 2014-10-16 |
| 1992839872 | Woodward Youth Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1251 334th St, Woodward, IA 50276-7509 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417593344 | Oklahoma Families First Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2504 E 71st St Ste A, Tulsa, OK 74136-5504 | 2019-11-26 |
| 1316228414 | Briggs Therapeutic Intensive Child Devopment Services Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 425 S Fretz Ave Ste E, Edmond, OK 73003-5568 | 2011-09-01 |
| 1881872166 | Wesleyan Youth Inc. | Residential Treatment Facility, Emotionally Disturbed Children | One Mile West of Highway 69 On Highway 9 (south Side), Eufaula, OK 74432 | 2008-02-08 |
| 1790963445 | Wesleyan Youth Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 605 Sw B Ave, #3, Lawton, OK 73501-3962 | 2008-02-05 |
| 1730203951 | Red Rock Behavorial Health Services | Residential Treatment Facility, Emotionally Disturbed Children | 4404 N. Lincoln Blvd, Oklahoma City, OK 73105 | 2007-03-16 |
| 1437251576 | Oklahoma Families First Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2227 W Lindsey St Ste 1550, Norman, OK 73069-4075 | 2006-09-01 |
| 1841304250 | Shadow Mountain Behavioral Health System, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 2801 Venture Dr, Norman, OK 73069-8215 | 2006-08-19 |
| 1134765068 | Oklahoma Families First Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1301 Kiowa St, Ardmore, OK 73401-2280 | 2019-11-26 |
| 1649816802 | Oklahoma Families First Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1705 Cradduck Rd, Ada, OK 74820-9491 | 2019-11-22 |
| 1275083867 | Oklahoma Families First, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2526 E 71st St, Ste A, Tulsa, OK 74136-5538 | 2016-10-07 |
| 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.