MRS. LAVINA KAY CLARK


Address: 126 E 6th St, Pawhuska, OK 74056-4204
Phone: 9182875425

MRS. LAVINA KAY CLARK (NPI# 1417297680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417297680
Entity Type Individual
Full Name MRS. LAVINA KAY CLARK
Practice Address 126 E 6th St
Pawhuska
OK 74056-4204
Mailing Address 2207 Bayliss Ave
Pawhuska
OK 74056-9442
Practice Telephone 9182875425
Practice Fax Number 9182871096
Mailing Telephone 9182875425
Mailing Fax Number 9182871096
Enumeration Date 2013-02-25
Last Update Date 2013-02-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities

Office Location

Street Address 126 E 6TH ST
City PAWHUSKA
State OK
Zip Code 74056-4204

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467974642 Alexis Sutton Case Manager/Care Coordinator 126 E 6th St, Pawhuska, OK 74056-4204 2017-07-10
1811313570 Brightpath Reynolds Counselor 126 E 6th St, Pawhuska, OK 74056-4204 2014-03-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033765227 Heather N Barkley Case Manager/Care Coordinator 1616 Mckenzie Road, Pawhuska, OK 74056 2019-08-13
1871092494 Pawhuska Hospital Inc Clinic/Center 1109 E 15th St, Pawhuska, OK 74056 2018-02-09
1043618572 Dagenais & Associates Medical Clinic, LLC Physician Assistant 137 East Main, Pawhuska, OK 74056 2014-12-16
1659615904 Osage Nation Community/Behavioral Health 126 6th Street, Pawhuska, OK 74056 2012-11-26
1366707481 Louis G Gray I Counselor 1011 Grandview, Pawhuska, OK 74056 2012-07-05
1205096427 Eric A Amberson Emergency Medicine 230 E. 5th Street, Pawhuska, OK 74056 2008-06-11
1407030356 Angels Health Care Clinic Inc Clinic/Center 47922 St Hwy 99, Pawhuska, OK 74056 2007-12-27
1871795740 Help Works, Inc Day Training, Developmentally Disabled Services 219 Lincoln, Pawhuska, OK 74056 2007-06-04
1639205628 William Franklin Pendley Counselor Edwin Fair Cmhc 515 Old Hyw 99, Pawhuska, OK 74056 2007-02-26
1265591416 Gemini Medical Group Family Medicine 701 Leahy, Pawhuska, OK 74056 2006-12-06
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Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Notes: [7/1/2003: modified title, modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710240825 Osage Nation Prt Substance Abuse Rehabilitation Facility 1011 Grandview Ave, Pawhuska, OK 74056-3023 2012-06-22
1932457843 Sammy Clarence Lookout Substance Abuse Rehabilitation Facility 1011 Grandview Ave, Pawhuska, OK 74056-3023 2012-08-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790301893 Second Chance Recovery Center, Inc. Substance Abuse Rehabilitation Facility 4238 Ne 1st St, Pryor, OK 74361-9614 2020-06-24
1912551805 Estelle Hawkins Substance Abuse Rehabilitation Facility 21227 N County Road 3350, Wynnewood, OK 73098-9356 2019-07-29
1902359391 Ryan Fitzpatrick Substance Abuse Rehabilitation Facility 7138 S Canton Ave, Tulsa, OK 74136-6303 2016-08-02
1609223866 Seven Ponds Energy LLC Dba Seven Ponds Residential Treatment Substance Abuse Rehabilitation Facility 1760 Blevins Rd., Bennington, OK 74723 2016-05-18
1679938534 Claudia Antoinette Parker Substance Abuse Rehabilitation Facility 301 Pointe Parkway Blvd Apt 706, Yukon, OK 73099-0641 2015-12-20
1184089328 Door 2 Ur Future Substance Abuse Rehabilitation Facility 1050 E 61st St Apt 89, Tulsa, OK 74136-1397 2015-12-15
1144627233 Denise Evyonne Engram Substance Abuse Rehabilitation Facility 4723 S Ash Dr, Broken Arrow, OK 74011-3464 2014-12-04
1093127979 Kimberly Ann Kelly-lorenz Substance Abuse Rehabilitation Facility 163 Mohawk Dr, Canadian, OK 74425-9747 2014-05-27
1558783589 Vizown LLC Substance Abuse Rehabilitation Facility 24962 Okay Rd, Tecumseh, OK 74873-6504 2014-01-10
1104256684 Robert Watson Substance Abuse Rehabilitation Facility 111 W 5th St Ste 600, Tulsa, OK 74103-4260 2013-11-19
Find all providers with the same taxonomy

Competitor

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City PAWHUSKA
Zip Code 74056

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Dataset Information

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.

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