EAGLE RIDGE INSTITUTE (NPI# 1780801373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780801373 |
| Entity Type | Organization |
| Organization Name | EAGLE RIDGE INSTITUTE |
| Other Organization Name | MCALESTER OUTPATIENT |
| Practice Address |
501 E Delaware Mcalester OK 74501 |
| Mailing Address |
Po Box 100 Krebs OK 74554 |
| Practice Telephone | 9184291100 |
| Practice Fax Number | 9184290101 |
| Mailing Telephone | 9184291100 |
| Mailing Fax Number | 9184290101 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. VIRGINIA SUE BEDWELL (AREA PROGRAM DIRECTOR) |
| Authorized Official Telephone | 9184291100 |
| Authorized Official Credential | MED |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| McAlester Outpatient | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851521363 | Eagle Ridge Institute | Community/Behavioral Health | 109 W 2nd Street, Tahlequah, OK 74464 | 2009-07-17 |
| 1669602173 | Eagle Ridge Institute | Community/Behavioral Health | 1515 W Chickasaw, Sallisaw, OK 74955 | 2009-07-17 |
| 1164544599 | Eagle Ridge Institute | Substance Abuse Rehabilitation Facility | 5427 Easy St, Guthrie, OK 73044-6621 | 2007-04-05 |
| 1396889556 | Eagle Ridge Institute | Community/Behavioral Health | 601 Ne 63rd St, Oklahoma City, OK 73105-6407 | 2007-02-19 |
| 1104182633 | Eagle Ridge Institute | Case Management | 601 Ne 63rd St, Oklahoma City, OK 73105-6407 | 2012-04-10 |
| 1629285267 | Eagle Ridge Institute | Community/Behavioral Health | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2007-05-16 |
| 1073730545 | Eagle Ridge Institute | Community/Behavioral Health | 601 Ne 63rd St, Oklahoma City, OK 73105-6407 | 2007-04-19 |
| 1790902260 | Eagle Ridge Institute | Community/Behavioral Health | 601 Ne 63rd St, Oklahoma City, OK 73105-6407 | 2007-04-19 |
| 1821119447 | Eagle Ridge Institute | Community/Behavioral Health | 109 S Harrill Ave, 1, Wagoner, OK 74467-5317 | 2007-04-02 |
| Street Address |
501 E DELAWARE |
| City | MCALESTER |
| State | OK |
| Zip Code | 74501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371466 | Belfair of Mcalester LLC | Assisted Living Facility | 802 Windsong Way, Mcalester, OK 74501 | 2019-11-22 |
| 1912425018 | Jennifer Bird | Case Manager/Care Coordinator | 34 Harpoon Dr, Mcalester, OK 74501 | 2017-09-08 |
| 1073033502 | Natalie Aline Kitchell | Case Manager/Care Coordinator | 1303 Hickory Bend, Mcalester, OK 74501 | 2017-06-26 |
| 1265964308 | Phoenix Counseling and Assessment Center, Inc. | Community/Behavioral Health | 32 E Cherokee, Suite 104, Mcalester, OK 74501 | 2017-03-29 |
| 1215302799 | Christine Herron | Physical Therapy Assistant | 1029 E. Washington Ave, Mcalester, OK 74501 | 2015-12-09 |
| 1437538212 | Lauren White | Speech-Language Pathologist | 205 South 2nd, Mcalester, OK 74501 | 2015-05-26 |
| 1316344096 | Ashley Brooke Monks | Speech-Language Pathologist | 557 Broken Feather Lane, Mcalester, OK 74501 | 2014-11-25 |
| 1821407644 | William Joseph Kinderknecht | Family Medicine | 4 E. Clark Bass Blvd., Suite 301a, Mcalester, OK 74501 | 2014-08-06 |
| 1467795153 | Kensey Mckay Holman | Occupational Therapist | 903 E Monroe Ave Ste 200, Mcalester, OK 74501 | 2013-04-01 |
| 1821334418 | Delors J Simmons | Counselor | 600 North D St, Mcalester, OK 74501 | 2012-12-31 |
| Find all providers in zip 74501 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265964308 | Phoenix Counseling and Assessment Center, Inc. | Community/Behavioral Health | 32 E Cherokee, Suite 104, Mcalester, OK 74501 | 2017-03-29 |
| 1336492966 | Connections Counseling and Consulting, Pllc | Community/Behavioral Health | 425 E. Osage Avenue, Administrative Office, Mcalester, OK 74501 | 2012-10-19 |
| 1609125087 | Sarah Chapman | Community/Behavioral Health | 725 East Wyandotte, Mcalester, OK 74501 | 2012-08-31 |
| 1538430582 | Amy Nohelty | Community/Behavioral Health | 210 Horse Shoe Ln, Mcalester, OK 74501-5189 | 2012-01-23 |
| 1841574589 | Community Couselors Group Inc. | Community/Behavioral Health | 225 W Adams Ave, Mcalester, OK 74501-4307 | 2011-09-29 |
| 1154658375 | Ki Bois Community Action Foundation, Inc | Community/Behavioral Health | 900 N West St, Mcalester, OK 74501-3338 | 2009-11-09 |
| 1780894121 | Western Plains Youth & Family Services, Inc. | Community/Behavioral Health | 505 S 3rd, Mcalester, OK 74501-5819 | 2007-05-23 |
| 1972652584 | Citizen's Advisory Committee for Pittsburg County Youth Shelter | Community/Behavioral Health | 904 N 9th St, Mcalester, OK 74501-4212 | 2007-01-10 |
| 1902444391 | Southern Oklahoma Treatment Services, Inc. | Community/Behavioral Health | 1602 N D St, Mcalester, OK 74501-2314 | 2019-12-16 |
| 1639565831 | Patricia Faye Williams | Community/Behavioral Health | 111 S Main St, Mcalester, OK 74501-5303 | 2015-04-14 |
| Find all providers in MCALESTER | ||||
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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.