OXFORD TREATMENT CENTER, LLC (NPI# 1619353877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619353877 |
| Entity Type | Organization |
| Organization Name | OXFORD TREATMENT CENTER, LLC |
| Practice Address |
1916 University Ave Oxford MS 38655-4114 |
| Mailing Address |
200 Powell Pl Brentwood TN 37027-7514 |
| Practice Telephone | 6622811306 |
| Practice Fax Number | 6154578094 |
| Mailing Telephone | 6157278387 |
| Mailing Fax Number | 6154578094 |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2017-12-27 |
| Authorized Official Name | MICHAEL CARTWRIGHT (CHAIRMAN) |
| Authorized Official Telephone | 6157278387 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619585809 | Oxford Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 616 Commerce Parkway, Oxford, MS 38655 | 2020-07-14 |
| 1356727515 | Oxford Treatment Center, LLC | Clinic/Center | 9320 Railroad Ave, Olive Branch, MS 38654-2416 | 2015-08-10 |
| 1194101352 | Oxford Treatment Center, LLC | Clinic/Center | 341 E Main St, Tupelo, MS 38804-4025 | 2015-08-10 |
| 1518341742 | Oxford Treatment Center, LLC | Clinic/Center | 297 County Road 244, Etta, MS 38627 | 2015-07-17 |
| Street Address |
1916 UNIVERSITY AVE |
| City | OXFORD |
| State | MS |
| Zip Code | 38655-4114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477649218 | Thomas D Fowlkes | Emergency Medicine | 1916 University Ave, Oxford, MS 38655-4114 | 2006-10-05 |
| 1245747526 | Brian Simmons | Social Worker | 1916 University Ave, Oxford, MS 38655-4114 | 2018-01-08 |
| 1659883155 | Marcelene Kubacki Redding | Counselor | 1916 University Ave, Oxford, MS 38655-4114 | 2017-10-25 |
| 1548799000 | Deja Jawanda Washington | Counselor | 1916 University Ave, Oxford, MS 38655-4114 | 2017-06-08 |
| 1215476569 | Martinese Fitzpatrick | Counselor | 1916 University Ave, Oxford, MS 38655-4114 | 2017-02-20 |
| 1487193884 | Larry R. Wills | Counselor | 1916 University Ave, Oxford, MS 38655-4114 | 2017-02-17 |
| 1649635111 | Emily Grace Ames | Counselor | 1916 University Ave, Oxford, MS 38655-4114 | 2015-12-28 |
| 1841661899 | Autum Pierce | Counselor | 1916 University Ave, Oxford, MS 38655-4114 | 2015-10-16 |
| 1720404916 | Doris Meux | Counselor | 1916 University Ave, Oxford, MS 38655-4114 | 2014-03-12 |
| 1477817526 | Oxford Centre Physician Group, P.a. | Psychologist | 1916 University Ave, Oxford, MS 38655-4114 | 2012-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619585809 | Oxford Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 616 Commerce Parkway, Oxford, MS 38655 | 2020-07-14 |
| 1760044465 | Lindsay Low Beauchamp | Speech-Language Pathologist | 169 Ms-6 #102, Oxford, MS 38655 | 2019-07-02 |
| 1861058075 | Tomiko D Mackey | Social Worker | 100 Carriage Cove, Oxford, MS 38655 | 2019-05-13 |
| 1174090039 | Derionne Brooks | Specialist/Technologist | 972 Hathorn Road, University, MS 38655 | 2018-10-30 |
| 1497236327 | Providence Companion Care | Nurse's Aide | 317 Heritage Dr Ste 3b, Oxford, MS 38655 | 2018-08-28 |
| 1255817292 | Marcela Caroline Weber | Counselor | 152 Mississippi 7 South, Oxford, MS 38655 | 2018-07-12 |
| 1649775123 | Oxford Outpatient Center, LLC | Clinic/Center | 611 Commerce Pkwy, Oxford, MS 38655 | 2018-03-27 |
| 1073039962 | Sharon Yvette Holloway | Social Worker | 152 Hwy and South, Oxford, Ms 38655, Oxford, MS 38655 | 2017-08-22 |
| 1447774682 | Courtney M Purvis | Physical Therapist | 300 Enterprise Dr Ste B, Oxford, MS 38655 | 2017-07-31 |
| 1649716580 | Taylor Lynn Smith | Counselor | 152 Ms-7, Oxford, MS 38655 | 2017-01-17 |
| Find all providers in zip 38655 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649775123 | Oxford Outpatient Center, LLC | Clinic/Center | 611 Commerce Pkwy, Oxford, MS 38655 | 2018-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154868248 | Mississippi Drug and Alcohol Treatment Center LLC | Clinic/Center | 13251 Reece Bergeron Rd, Biloxi, MS 39532-7557 | 2017-01-26 |
| 1356727515 | Oxford Treatment Center, LLC | Clinic/Center | 9320 Railroad Ave, Olive Branch, MS 38654-2416 | 2015-08-10 |
| 1821248279 | Alternatives for Life Treatment & Recovery of Jackson LLC | Clinic/Center | 500d E Woodrow Wilson Ave, Jackson, MS 39216-4538 | 2008-09-23 |
| 1396288361 | Journeypure Southaven, LLC | Clinic/Center | 8829 Centre St, Southaven, MS 38671-2610 | 2016-11-23 |
| 1336681584 | Journeypure Southaven, LLC | Clinic/Center | 8829 Centre St, Southaven, MS 38671-2610 | 2016-11-04 |
| 1194101352 | Oxford Treatment Center, LLC | Clinic/Center | 341 E Main St, Tupelo, MS 38804-4025 | 2015-08-10 |
| 1518341742 | Oxford Treatment Center, LLC | Clinic/Center | 297 County Road 244, Etta, MS 38627 | 2015-07-17 |
| 1053528901 | Golden Triangle Recovery Center, Inc. | Clinic/Center | 322 University Dr, Starkville, MS 39759-2955 | 2007-05-17 |
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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.