NORTHWEST CENTER FOR BEHAVIORAL HEALTH (NPI# 1710174107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710174107 |
| Entity Type | Organization |
| Organization Name | NORTHWEST CENTER FOR BEHAVIORAL HEALTH |
| Other Organization Name | NORTHWEST CENTER FOR BEHAVIORAL HEALTH |
| Practice Address |
1 Mi E Hwy 270 Fort Supply OK 73841-0001 |
| Mailing Address |
Po Box 1 Fort Supply OK 73841-0001 |
| Practice Telephone | 5807662311 |
| Practice Fax Number | 5807662316 |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2016-10-17 |
| Authorized Official Name | SUSAN JINKENS (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 5807662311 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
44-2593 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2074624 | 01 | |
| OK | 100704080A | 05 |
| Other Name | Type Code |
|---|---|
| NORTHWEST CENTER FOR BEHAVIORAL HEALTH | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003135260 | Northwest Center for Behavioral Health | Psychiatric Unit | Rr 3 Box 57, Laverne, OK 73848 | 2010-05-26 |
| Street Address |
1 MI E HWY 270 |
| City | FORT SUPPLY |
| State | OK |
| Zip Code | 73841-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013553163 | Mirissa Joy Beavers | Social Worker | 193461 E. County Rd. 304, Fort Supply, OK 73841 | 2019-11-25 |
| 1801119128 | Stephanie Harper | Registered Nurse | 1 Mile E. Us Hwy 270, Fort Supply, OK 73841 | 2010-03-02 |
| 1265755581 | Penny Hills | Registered Nurse | 1 Mile E. U S Hwy 270, Fort Supply, OK 73841 | 2010-03-02 |
| 1982782181 | Patrick Scott Herd | Psychiatry & Neurology | Northwest Center for Behavioral Health, 1 Mile East On Hwy 270, Fort Supply, OK 73841 | 2006-11-02 |
| 1619290939 | Carrie Randall | Registered Nurse | 1 Mile E. Us Hwy 270, Fort Supply, OK 73841 | 2010-03-02 |
| 1528381845 | Sanzee Suthers | Registered Nurse | 1 Mile E. Us Hwy 270, Fort Supply, OK 73841 | 2010-03-02 |
| 1538482856 | Cathy Heinen | Registered Nurse | 1 Mile E. Us Hwy 270, Fort Supply, OK 73841 | 2010-03-02 |
| 1700109022 | Sharon Potts | Registered Nurse | 1 Mile E. Us Hwy 270, Fort Supply, OK 73841 | 2010-03-02 |
| 1669980173 | Laura S Brandvik | Licensed Practical Nurse | Po Box 1, Fort Supply, OK 73841-0001 | 2018-01-18 |
| 1932478070 | Angela M Myers | Nurse Practitioner | 193461 East County Road 304, Fort Supply, OK 73841-0001 | 2011-12-19 |
| Find all providers in zip 73841 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811229966 | Us Dept of Justice | Pharmacy | 4205 E Highway 66, El Reno, OK 73036-9701 | 2010-01-31 |
| 1992134852 | Mercy Hospital Ada Pharmacy | Pharmacy | 430 N Monte Vista St, Ada, OK 74820-4610 | 2013-11-01 |
| 1528383841 | Shadow Mountain Behavioral Health System, LLC | Pharmacy | 1027 E 66th Pl, Tulsa, OK 74136-3701 | 2010-03-30 |
| 1235346479 | Tulsa Spine & Specialty Hospital Pharmacy | Pharmacy | 6901 S Olympia Ave, Tulsa, OK 74132 | 2007-05-17 |
| 1558582387 | Moore Medical Center | Pharmacy | 700 S Telephone Rd, Moore, OK 73160-2502 | 2007-05-01 |
| 1518028380 | Jackson County Memorial Hosp Phcy | Pharmacy | 1200 E Pecan St, Altus, OK 73521-6141 | 2006-12-13 |
| 1437226917 | Owasso Medical Facility LLC | Pharmacy | 12451 E 100th St N, Owasso, OK 74055-4600 | 2006-11-29 |
| 1285727446 | State of Oklahoma Office of State Finance | Pharmacy | 1101 E Monroe Ave, Mcalester, OK 74501-4815 | 2006-10-02 |
| 1285739045 | Norman Regional Hospital | Pharmacy | 901 N Porter, Norman, OK 73071-6404 | 2006-09-14 |
| City | FORT SUPPLY |
| Zip Code | 73841 |
Please comment or provide details below to improve the information on NORTHWEST CENTER FOR BEHAVIORAL HEALTH.
| 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.