1528356649 NPI number — OKLAHOMA MENTAL HEALTH COUNCIL

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528356649 NPI number — OKLAHOMA MENTAL HEALTH COUNCIL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
OKLAHOMA MENTAL HEALTH COUNCIL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1528356649
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/11/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4400 N LINCOLN BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OKLAHOMA CITY
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
73105-5104
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
405-425-0355
Provider Business Mailing Address Fax Number:
405-425-0343

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
124 E SHERIDAN AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KINGFISHER
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73750-3200
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
405-424-7711
Provider Business Practice Location Address Fax Number:
405-425-0343
Provider Enumeration Date:
07/11/2011

Additional Information

Authorized Official

Authorized Official Last Name:
FRIEDMAN
Authorized Official First Name:
ALLYN
Authorized Official Middle Name:
S
Authorized Official Title or Position:
CHIEF EXECUTIVE OFFICER
Authorized Official Telephone Number:
405-424-7711

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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