Healthcare Provider Details

I. General information

NPI: 1295852812
Provider Name (Legal Business Name): SAINT FRANCIS COMMUNITY SERVICES IN OKLAHOMA,
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 10/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7320 S YALE AVENUE SUITE 202
TULSA OK
74136
US

IV. Provider business mailing address

509 E ELM ST
SALINA KS
67401-2353
US

V. Phone/Fax

Practice location:
  • Phone: 918-488-0163
  • Fax: 918-488-1583
Mailing address:
  • Phone: 785-825-0541
  • Fax: 785-825-0062

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4634
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number767-003
License Number StateKS

VIII. Authorized Official

Name: KRISTA PATRICK
Title or Position: DIRECTOR OF ACCOUNTING SERVICES
Credential:
Phone: 785-825-0541