1336275247 NPI number — ALTERNATIVE OPPORTUNITIES INC.

Table of content: (NPI 1336275247)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336275247 NPI number — ALTERNATIVE OPPORTUNITIES INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALTERNATIVE OPPORTUNITIES INC.
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:
DAYSPRING COMMUNITY SERVICES
Provider Other Organization Name Type Code:
4
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:
1336275247
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/30/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
500 N WALKER AVE
Provider Second Line Business Mailing Address:
SUITE 190 & 200
Provider Business Mailing Address City Name:
OKLAHOMA CITY
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
73102-1619
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
405-702-9721
Provider Business Mailing Address Fax Number:
405-702-9720

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
27 B SOUTH WEST
Provider Second Line Business Practice Location Address:
SUITE 100 & 200
Provider Business Practice Location Address City Name:
ARDMORE
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
580-490-9192
Provider Business Practice Location Address Fax Number:
580-490-9194
Provider Enumeration Date:
02/26/2007

Additional Information

Authorized Official

Authorized Official Last Name:
PEDERSON-RAMBO
Authorized Official First Name:
MORNA
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
405-702-9721

Provider Taxonomy Codes

  • Taxonomy code: 261QM0801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QM0850X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 261QM0855X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 100746170J , issued by the state of ( OK ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com