PROVIDENCE SERVICE CORPORATION (NPI# 1235271222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235271222 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE SERVICE CORPORATION |
| Practice Address |
301 N High St Antlers OK 74523-2238 |
| Mailing Address |
620 N Craycroft Rd Tucson AZ 85711-1448 |
| Practice Telephone | 5802985779 |
| Practice Fax Number | 5802986699 |
| Mailing Telephone | 5207476694 |
| Mailing Fax Number | 5207476613 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BREEANN HOERNING (AR BILLING MANAGER) |
| Authorized Official Telephone | 5207476691 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447404082 | Providence Service Corporation | Exclusive Provider Organization | 2211 E Missouri Ave, E243, El Paso, TX 79903-3807 | 2008-11-10 |
| 1851728042 | Providence Service Corporation | Community/Behavioral Health | 2215 N Broadway, Santa Ana, CA 92706-2663 | 2013-10-02 |
| 1982949699 | Providence Service Corporation | Community/Behavioral Health | 469 Main St, Springvale, ME 04083-1870 | 2012-12-06 |
| 1710222534 | Providence Service Corporation | Community/Behavioral Health | 2 Davenport Cir, Suite 4; Achieve Program, Bath, ME 04530-2880 | 2012-12-05 |
| 1821003658 | Providence Service Corporation | Public Health or Welfare | 4645 W Gore Blvd, Suite 5, Lawton, OK 73505-6041 | 2006-07-30 |
| Street Address |
301 N HIGH ST |
| City | ANTLERS |
| State | OK |
| Zip Code | 74523-2238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639239023 | Providence Service Corporation of Oklahoma | Clinic/Center | 301 N High St, Antlers, OK 74523-2238 | 2006-12-08 |
| 1073151148 | Tracy Ann Bailey | Case Manager/Care Coordinator | 301 N High St, Antlers, OK 74523-2238 | 2019-12-19 |
| 1932672078 | Melissa Dawn Clem | Case Manager/Care Coordinator | 301 N High St, Antlers, OK 74523-2238 | 2019-01-10 |
| 1821584236 | Ainsley Jalayne Watts | Case Management | 301 N High St, Antlers, OK 74523-2238 | 2018-07-09 |
| 1801195987 | Jennifer Anne Hairrell | Counselor | 301 N High St, Antlers, OK 74523-2238 | 2011-03-15 |
| 1356647010 | Sara Michelle Barnett | Behavioral Analyst | 301 N High St, Antlers, OK 74523-2238 | 2011-01-28 |
| 1326350646 | Frankie Joe Couch Jr. | Counselor | 301 N High St, Antlers, OK 74523-2238 | 2010-07-02 |
| 1760709950 | Jennifer Anne Gordon | Counselor | 301 N High St, Antlers, OK 74523-2238 | 2010-04-27 |
| 1023161429 | Stacey Colette Franks | Counselor | 301 N High St, Antlers, OK 74523-2238 | 2007-01-19 |
| 1811049976 | Lynne B Gelhaus | Counselor | 301 N High St, Antlers, OK 74523-2238 | 2007-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942793351 | Terry Jean Draper | Nurse Practitioner | 416020 E 1951 Rd, Antlers, OK 74523 | 2018-06-11 |
| 1134628456 | Breiana Jacobs | Case Manager/Care Coordinator | 107 South High St, Antlers, OK 74523 | 2018-02-02 |
| 1174072482 | Crossroads 1010 LLC | Community/Behavioral Health | 193908 Us Hwy 271, Antlers, OK 74523 | 2016-09-27 |
| 1700277092 | Katherine Jill Maple | Registered Nurse | 506 Hwy 271 North, Antlers, OK 74523 | 2015-02-09 |
| 1366884975 | Jessica L. Rowan | Speech-Language Pathologist | 426297 State Highway 3, Antlers, OK 74523 | 2013-07-24 |
| 1235432444 | Charis Kay Griffin | Psychologist | 903 West Main St., Antlers, OK 74523 | 2010-12-09 |
| 1629213889 | Hometown Quality Care, Inc | Home Health | 191475 N 4140 Rd Ste 3, Antlers, OK 74523 | 2008-12-02 |
| 1841491214 | Zen Gee Counseling & Psychological Serv LLC | Community/Behavioral Health | 608 Highway 271 North, Antlers, OK 74523 | 2007-05-31 |
| 1376689422 | Marcia Leigh Armstrong | Counselor | 608 Hwy 271 North, Antlers, OK 74523 | 2007-01-29 |
| 1831247691 | Chance J Lawless | Dentist | 412 N Hwy 271, Antlers, OK 74523 | 2007-01-08 |
| Find all providers in zip 74523 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821584236 | Ainsley Jalayne Watts | Case Management | 301 N High St, Antlers, OK 74523-2238 | 2018-07-09 |
| 1669718250 | Jody Hallman | Case Management | 106 1/2 Se 2nd, Antlers, OK 74523-0000 | 2012-12-31 |
| 1730431792 | Hayley M Rinehart | Case Management | 106 1/2 S.e. 2nd, Antlers, OK 74523-0000 | 2012-10-15 |
| 1083867725 | Quest Mhsa, LLC | Case Management | 905 W Main St, Antlers, OK 74523-2045 | 2008-10-28 |
| 1144473000 | Quest Mhsa, LLC | Case Management | 905 W Main St, Antlers, OK 74523-2045 | 2008-10-23 |
| 1063562304 | Southern Oklahoma Assistance An Resources Foundation | Case Management | 107 S High St, Antlers, OK 74523-3818 | 2007-01-11 |
| 1427108778 | Southern Oklahoma Assistance and Resources Foundation | Case Management | 107 S High St, Antlers, OK 74523-3818 | 2007-01-11 |
| 1417007766 | Southern Oklahoma Assistance and Resources Foundation | Case Management | 107 S High St, Antlers, OK 74523-3818 | 2007-01-11 |
| 1700940905 | Sequelcare of Oklahoma, LLC | Case Management | 107 S High St, Antlers, OK 74523-3818 | 2006-12-21 |
| 1972667038 | Sequelcare of Oklahoma, LLC | Case Management | 107 S High St, Antlers, OK 74523-3818 | 2006-12-21 |
| Find all providers in ANTLERS | ||||
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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.