Northwest Center For Behavioral Health

LBN: State Of Oklahoma
Northwest Center For Behavioral Health is an health care organization with primary practice located at 193461 E Ct Rd 304 , Fort Supply OK 73841-0001. The organization recently has only one registered license in Hospitals / Psychiatric Hospital, which is considered as the primary health care specialty. State Of Oklahoma can be contacted via phone (580) 766-2311, or through Nickelson, Autumn via phone (580) 571-3231.

Contact Information

Primary practice address
193461 E Ct Rd 304 Fort Supply OK 73841-0001
Phone: (580) 766-2311
Fax: (580) 766-2017
Website:
Map and Directions
Authorized official contact:
Name: Nickelson, Autumn LADC/LCSW
Phone: (580) 571-3231

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Psychiatric Hospital 283Q00000X

Profile Details

NPI number 1922171701
LBN Legal business name State Of Oklahoma
DBA Doing business as Northwest Center For Behavioral Health
Authorized official Nickelson, Autumn LADC/LCSW
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2006
Last updated Dec 11th, 2023 - 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 1922171701 NPPES
Oklahoma MEDICAID 100704080B
Oklahoma MEDICAID 100704080A

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