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NPI Code Detail

MEDICARE: SUNBEAM FAMILY SERVICES, INC.

MEDICARE: SUNBEAM FAMILY SERVICES, INC.
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
1251B00000XCase Management Agency
2251S00000XCommunity/Behavioral Health AgencyOK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619015005
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUNBEAM FAMILY SERVICES, INC.
Provider Business Mailing Address
First Line : 1100 NW 14TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73106-4450
Country : US
Telephone Number : 405-528-7721
Fax Number : 405-609-2880
Provider Business Practice Location Address
First Line : 1100 NW 14TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73106-4450
Country : US
Telephone Number : 405-528-7721
Fax Number : 405-338-4743
Authorized Official
Title or Position : SENIOR PROGRAM DIRECTOR
Name : DESTYNI TRAYLER
Credential :
Telephone Number : 405-528-7721
Provider Enumeration Date : 02/01/2007
Last Update Date : 05/15/2024

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Directions to “SUNBEAM FAMILY SERVICES, INC. ” Practice Location

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