PROVIDENCE SERVICE CORPORATION OF OKLAHOMA (NPI# 1487726170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487726170 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE SERVICE CORPORATION OF OKLAHOMA |
| Other Organization Name | PROVIDENCE OF OKLAHOMA |
| Practice Address |
931 Arlington St Ste 2 Ada OK 74820-4025 |
| Mailing Address |
620 N Craycroft Rd Tucson AZ 85711-1448 |
| Practice Telephone | 5803326851 |
| Mailing Telephone | 5207476600 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JAMES M DUGAN (CONTROLLER) |
| Authorized Official Telephone | 5207476600 |
| 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 |
| Other Name | Type Code |
|---|---|
| Providence of Oklahoma | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740340157 | Providence Service Corporation of Oklahoma | Clinic/Center | 105 Plaza, Madill, OK 73446-2248 | 2006-12-08 |
| 1639239023 | Providence Service Corporation of Oklahoma | Clinic/Center | 301 N High St, Antlers, OK 74523-2238 | 2006-12-08 |
| 1407916802 | Providence Service Corporation of Oklahoma | Clinic/Center | 134 N 12th Ave, Durant, OK 74701-4718 | 2006-12-08 |
| 1033279443 | Providence Service Corporation of Oklahoma | Clinic/Center | 4645 W Gore Blvd Ste 5, Lawton, OK 73505-5962 | 2006-12-08 |
| 1295154581 | Providence Service Corporation of Oklahoma | Community/Behavioral Health | 116 Se Ave N, Idabel, OK 74745-5234 | 2014-04-15 |
| 1568504553 | Providence Service Corporation of Oklahoma | Case Management | 134 N 12th Ave, Durant, OK 74701-4718 | 2007-02-13 |
| 1003958091 | Providence Service Corporation of Oklahoma | Case Management | 134 N 12th Ave, Durant, OK 74701-4718 | 2007-02-13 |
| 1811039894 | Providence Service Corporation of Oklahoma | Case Management | 931 Arlington St Ste 2, Ada, OK 74820-4025 | 2007-02-13 |
| 1942342944 | Providence Service Corporation of Oklahoma | Case Management | 105 Plaza, Madill, OK 73446-2248 | 2007-02-13 |
| 1184766172 | Providence Service Corporation of Oklahoma | Case Management | 117 E Main St, Hugo, OK 74743-6237 | 2007-02-13 |
| Street Address |
931 ARLINGTON ST STE 2 |
| City | ADA |
| State | OK |
| Zip Code | 74820-4025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932490521 | Bonnie S Stribling Hignite | Chiropractor | 931 Arlington St Ste 2, Ada, OK 74820-4025 | 2011-04-29 |
| 1740309137 | John D Lucas | Counselor | 931 Arlington St Ste 2, Ada, OK 74820-4025 | 2007-03-28 |
| 1811039894 | Providence Service Corporation of Oklahoma | Case Management | 931 Arlington St Ste 2, Ada, OK 74820-4025 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578103727 | Curry Orthopedics and Sports Medicine Pllc | Orthopaedic Surgery | 919 Colony Drive, Ada, OK 74820 | 2020-01-15 |
| 1215574603 | Miranda Denise Bowman | Counselor | 1300 Hoppe Blvd., Suite 5, Ada, OK 74820 | 2019-12-04 |
| 1326509654 | Patricia June Harjo | Case Manager/Care Coordinator | Nittak Himitta' Women's and Children's Recovery Center, 2024 Te Ata Drive, Ada, OK 74820 | 2019-03-28 |
| 1649737172 | Rylee Nikole Leblanc | Case Manager/Care Coordinator | 1119 S High School St, Ada, OK 74820 | 2019-02-20 |
| 1891251328 | David Kinback | Rehabilitation Counselor | 1400 Hoppe Blvd., Suite 3, Cn Recovery Resource Services, Ada, OK 74820 | 2019-02-20 |
| 1922571009 | Central Oklahoma Family Medical Center, Inc. | Pharmacy | 905 Colony Dr, Ada, OK 74820 | 2019-01-10 |
| 1063988673 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 905 Colony Drive Bldg, Ada, OK 74820 | 2018-10-22 |
| 1265907885 | Apex Surgery Center, LLC | Surgery | 2001 Cradduck Road, Ada, OK 74820 | 2018-10-10 |
| 1689150898 | Sabrina Simmons | Social Worker | 2516 Oakhurst Dr Apt E, Ada, OK 74820 | 2018-07-11 |
| 1700370467 | Brianna Leigh Youngwolfe | Nurse Practitioner | 2020 Arlington St Ste 6, Ada, OK 74820 | 2018-06-17 |
| Find all providers in zip 74820 | ||||
| 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 |
|---|---|---|---|---|
| 1366064065 | Sunburst Integrative Therapy & Wellness Pllc | Clinic/Center | 2534 Ashwood Ct Se, Ada, MI 49301-9210 | 2020-05-15 |
| 1033265764 | Lighthouse Behavioral Wellness Centers | Clinic/Center | 301 W 4th St, Ada, OK 74820-3411 | 2007-01-26 |
| 1457436867 | Oklahoma Families First Inc | Clinic/Center | 2612 Arlington St Ste A, Ada, OK 74820-2905 | 2006-10-25 |
| 1043312994 | Oklahoma Families First Inc | Clinic/Center | 1705 Cradduck Rd, Ada, OK 74820 | 2006-09-02 |
| 1154855997 | Yco Tulsa, Inc | Clinic/Center | 1705 Cradduck Rd, Ada, OK 74820-9491 | 2017-04-19 |
| 1366836249 | Yco Tulsa, Inc. | Clinic/Center | 314 S Broadway Ave, Suite 106, Ada, OK 74820-5828 | 2015-03-27 |
| 1679619878 | Mental Health Services of Southern Oklahoma | Clinic/Center | 301 W 4th St, Ada, OK 74820-3411 | 2007-01-29 |
| 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.