Jim Taliaferro Community Mental Health Center

LBN: State Of Oklahoma
Jim Taliaferro Community Mental Health Center is an health care organization with primary practice located at 602 Sw 38Th Street , Lawton OK 73505-6912. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Hospitals / Psychiatric Hospital. Hospitals / Psychiatric Hospital is the primary health care specialty. State Of Oklahoma can be contacted via phone (580) 248-5780, or through Lee, Terri via phone (580) 250-2640.

Contact Information

Primary practice address
602 Sw 38Th Street Lawton OK 73505-6912
Phone: (580) 248-5780
Fax: (580) 353-3202
Website:
Map and Directions
Authorized official contact:
Name: Lee, Terri Licensed Professional Counselor (LPC)
Phone: (580) 250-2640

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0005111 Oklahoma
Hospitals / Psychiatric Hospital 283Q00000X 0005111 Oklahoma
Hospitals / Psychiatric Hospital 283Q00000X

Profile Details

NPI number 1760481899
LBN Legal business name State Of Oklahoma
DBA Doing business as Jim Taliaferro Community Mental Health Center
Authorized official Lee, Terri Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2005
Last updated Jan 30th, 2024 - about 2 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 1760481899 NPPES
Oklahoma MEDICAID 100688870A
Oklahoma MEDICAID 100700660A
Oklahoma MEDICAID 100677270A
Oklahoma MEDICAID 1007558860A
Oklahoma MEDICAID 100706940L

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