| State Of Oklahoma | |
|
602 Sw 38th Street Lawton OK 73505-6912 | |
| (580) 248-5780 | |
| (580) 353-3202 |
| Full Name | State Of Oklahoma |
|---|---|
| Speciality | Psychiatric Hospital |
| Location | 602 Sw 38th Street, Lawton, Oklahoma |
| Authorized Official Name and Position | Terri Lee (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5802502640 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| State Of Oklahoma 602 Sw 38th Street Lawton OK 73505-6912 Ph: (580) 248-5780 | State Of Oklahoma 602 Sw 38th Street Lawton OK 73505-6912 Ph: (580) 248-5780 |
| NPI Number | 1760481899 |
|---|---|
| Provider Enumeration Date | 07/20/2005 |
| Last Update Date | 01/30/2024 |
| Certification Date | 01/30/2024 |
| Medicare PECOS PAC ID | 4486558962 |
|---|---|
| Medicare Enrollment ID | O20091113000281 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760481899 | NPI | - | NPPES |
| 100688870A | Medicaid | OK | |
| 100700660A | Medicaid | OK | |
| 100677270A | Medicaid | OK | |
| 1007558860A | Medicaid | OK | |
| 100706940L | Medicaid | OK |
Lynch & Lynch, Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6205 W Gore Blvd, Lawton, OK 73505 Phone: 580-536-3900 Fax: 580-357-8787 | |
Neurohealth Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2701 Sw A Ave, Lawton, OK 73505 Phone: 580-248-1004 Fax: 580-248-1008 | |
Providence Service Corporation Of Oklahoma Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4645 W Gore Blvd Ste 5, Lawton, OK 73505 Phone: 580-355-6800 Fax: 580-355-0666 | |
Southern Oklahoma Treatment Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1307 Sw Washington Ave, Lawton, OK 73501 Phone: 405-208-9354 | |
Jennifer Baker, Lmft, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6425 Nw Cache Rd Ste 215, Lawton, OK 73505 Phone: 580-583-2133 | |
Resilient Pathways Therapy Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1006 Nw 47th St Ste B, Lawton, OK 73505 Phone: 858-352-8840 | |
Western Plains Youth & Family Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Sw D Ave, Ste. B, Lawton, OK 73501 Phone: 580-248-3065 Fax: 580-248-3370 |