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NPI Code Detail

MEDICARE: NORTH OKLAHOMA COUNTY MENTAL HEALTH CENTER

MEDICARE: NORTH OKLAHOMA COUNTY MENTAL HEALTH CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528148541
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH OKLAHOMA COUNTY MENTAL HEALTH CENTER
Provider Business Mailing Address
First Line : PO BOX 12978
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73157-2978
Country : US
Telephone Number : 405-858-2700
Fax Number : 405-858-2720
Provider Business Practice Location Address
First Line : 4436 NW 50TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73112-2212
Country : US
Telephone Number : 405-858-2700
Fax Number : 405-858-2720
Authorized Official
Title or Position : CFO
Name : LONNIE RICE
Credential :
Telephone Number : 405-858-2735
Provider Enumeration Date : 10/16/2006
Last Update Date : 04/07/2023

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Directions to “NORTH OKLAHOMA COUNTY MENTAL HEALTH CENTER ” Practice Location

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