Millennium Community Services, Llc

LBN: Millennium Community Services, Llc
Millennium Community Services, Llc is an health care organization with primary practice located at 503 S Central Ave , Idabel OK 74745-6061. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Millennium Community Services, Llc can be contacted via phone (580) 245-7101, or through Hamil, Wade L via phone (405) 573-9905.

Contact Information

Primary practice address
503 S Central Ave Idabel OK 74745-6061
Phone: (580) 245-7101
Fax: (888) 753-8162
Website:
Map and Directions
Authorized official contact:
Name: Hamil, Wade L PHD
Phone: (405) 573-9905

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1649780131
LBN Legal business name Millennium Community Services, Llc
DBA Doing business as
Authorized official Hamil, Wade L PHD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2017
Last updated Aug 11th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649780131 NPPES
Oklahoma MEDICAID 200129170J

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