| Jim Taliaferro Cmhc | |
|
110 Se 2nd Street Anadarko OK 73005-3416 | |
| (580) 248-5780 | |
| (580) 353-3202 |
| Full Name | Jim Taliaferro Cmhc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 110 Se 2nd Street, Anadarko, Oklahoma |
| Authorized Official Name and Position | Brenda Ototivo (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5802485780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jim Taliaferro Cmhc 110 Se 2nd Street Anadarko OK 73005-3416 Ph: (580) 248-5780 | Jim Taliaferro Cmhc 110 Se 2nd Street Anadarko OK 73005-3416 Ph: (580) 248-5780 |
| NPI Number | 1285779314 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 06/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285779314 | NPI | - | NPPES |
| 100706940D | Medicaid | OK | |
| 100706940I | Medicaid | OK |
Wichita And Affiliated Tribes Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 1/4 Mi. N Hwy 281, Anadarko, OK 73005 Phone: 405-247-2425 Fax: 405-247-2430 | |
Southwest Youth And Family Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 E Broadway St, Anadarko, OK 73005 Phone: 405-247-9777 Fax: 405-247-9778 |