| Providence Of Oklahoma | |
|
931 Arlington St Ste 2 Ada OK 74820-4025 | |
| (580) 332-6851 | |
| Not Available |
| Full Name | Providence Of Oklahoma |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 931 Arlington St Ste 2, Ada, Oklahoma |
| Authorized Official Name and Position | James M Dugan (CONTROLLER) |
| Authorized Official Contact | 5207476600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Of Oklahoma 620 N Craycroft Rd Tucson AZ 85711-1448 Ph: (520) 747-6600 | Providence Of Oklahoma 931 Arlington St Ste 2 Ada OK 74820-4025 Ph: (580) 332-6851 |
| NPI Number | 1487726170 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487726170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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