1992975700 NPI number — PEOPLE FIRST INDUSTRIES OF BRYAN COUNTY INC

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 1992975700 NPI number — PEOPLE FIRST INDUSTRIES OF BRYAN COUNTY INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PEOPLE FIRST INDUSTRIES OF BRYAN COUNTY 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:
SHELTERED WORK OPPORTUNITIES
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:
1992975700
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/20/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1314
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DURANT
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
74702-1314
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
580-924-8509
Provider Business Mailing Address Fax Number:
580-924-1925

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3324 ENTERPRISE DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DURANT
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
74701-1986
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
580-924-8509
Provider Business Practice Location Address Fax Number:
580-924-1925
Provider Enumeration Date:
03/07/2008

Additional Information

Authorized Official

Authorized Official Last Name:
KEELING
Authorized Official First Name:
MELYNDA
Authorized Official Middle Name:
K.
Authorized Official Title or Position:
CONTRACTS ADMINISTRATOR
Authorized Official Telephone Number:
580-924-8509

Provider Taxonomy Codes

  • Taxonomy code: 251V00000X , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 100681760E . This is a "DURABLE MEDICAL EQUIPMENT" identifier , issued by the state of ( OK ) . This identifiers is of the category "OTHER".




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