OKLAHOMA PRODUCTION CENTER (NPI# 1891042719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891042719 |
| Entity Type | Organization |
| Organization Name | OKLAHOMA PRODUCTION CENTER |
| Practice Address |
216 West Ave. Tahlequah OK 74464 |
| Mailing Address |
Po Box 774 Tahlequah OK 74465-0774 |
| Practice Telephone | 9184561929 |
| Practice Fax Number | 9184561969 |
| Mailing Telephone | 9184561929 |
| Mailing Fax Number | 9184561969 |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2012-08-09 |
| Authorized Official Name | EFFIE FOSTER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9184561237 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100683000 | 05 |
| Street Address |
216 WEST AVE. |
| City | TAHLEQUAH |
| State | OK |
| Zip Code | 74464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184253403 | Kendall Harris | Student in an Organized Health Care Education/Training Program | 100 Bliss Ave, Tahlequah, OK 74464 | 2020-04-07 |
| 1528609302 | Norma Brightly | Technician | 103 Sequoyah, Tahlequah, OK 74464 | 2019-10-03 |
| 1073175832 | Jody Lynn Dallis | Case Manager/Care Coordinator | Tenkiller Behavioral Services, 27753 S. Welling Rd, Welling, OK 74464 | 2019-07-02 |
| 1184287849 | Perry Jake Proctor | Student in an Organized Health Care Education/Training Program | 1400 E Downing St, Tahlequah, Ok 74464, Tahlequah, OK 74464 | 2019-04-18 |
| 1336657279 | Sidney Sheyenne Kimble | Case Manager/Care Coordinator | 1429 Jack Brown Lane, Tahlequah, OK 74464 | 2018-01-12 |
| 1891225686 | Nichols Bradley Alberty | Orthotist | 1294 East Downing, Suite 3, Tahlequah, OK 74464 | 2017-06-14 |
| 1922549690 | Krystal Easter Ms, Lpc | Counselor | 2201 Oakridge Dr, Tahlequah, OK 74464 | 2017-03-15 |
| 1144777319 | Northeastern Oklahoma Community Health Centers, Inc. | Clinic/Center | 529 N. Oak St., Tahlequah, OK 74464 | 2016-09-06 |
| 1548713456 | Clement Isioma Nwadozi | Optometrist | 3763 Southridge Cir Apt 6, Tahlequah, OK 74464 | 2016-07-27 |
| 1033532635 | Wesley Gragg | Specialist/Technologist | 603 North Grand Avenue, Tahlequah, OK 74464 | 2014-02-03 |
| Find all providers in zip 74464 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184978512 | National Community Dev Corp of Ok | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3115 S Winston Ave, Tulsa, OK 74135-2028 | 2012-11-07 |
| 1578865317 | Jackie Fields Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2303 Pickens, Muskogee, OK 74402 | 2010-11-30 |
| 1407012156 | Sawyer Investments, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9810 E 45th Pl, Tulsa, OK 74146-4708 | 2008-08-01 |
| 1295995488 | L.c.a.r.c.,inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 319 W Oklahoma Ave, Guthrie, OK 73044 | 2008-06-11 |
| 1558582858 | Aid for Individual Development Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2805 N Utah Ave, Oklahoma City, OK 73107-1217 | 2007-05-02 |
| 1467570051 | Evergreen Ok Daily Living Support | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7725 W Britton Rd, Oklahoma City, OK 73132-1507 | 2007-03-26 |
| 1548385834 | Arc Group Homes, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 616 E 4th St, Bartlesville, OK 74003-3907 | 2007-03-19 |
| 1225153521 | Employment Resources, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6202 S Lewis Ave Ste D, Tulsa, OK 74136-1064 | 2007-03-19 |
| 1285796276 | Incipient Care Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 776 S. Sara Rd, Tuttle, OK 73089-8648 | 2006-12-15 |
| 1982773107 | Dungarvin Oklahoma LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9210 S Western Ave Ste A-22, Oklahoma City, OK 73139-4982 | 2006-11-06 |
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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.