Canadian County Collaborative Llc

LBN: Canadian County Collaborative Llc
Canadian County Collaborative Llc is an health care organization with primary practice located at 1703 Professional Cir Ste 201 , Yukon OK 73099-6498. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Canadian County Collaborative Llc can be contacted via phone (405) 805-6203, or through Pierce, Matt via phone (405) 805-6203.

Contact Information

Primary practice address
1703 Professional Cir Ste 201 Yukon OK 73099-6498
Phone: (405) 805-6203
Fax: (405) 896-4151
Website:
Map and Directions
Authorized official contact:
Name: Pierce, Matt LPC, RPTS
Phone: (405) 805-6203

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1780201798
LBN Legal business name Canadian County Collaborative Llc
DBA Doing business as
Authorized official Pierce, Matt LPC, RPTS
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2020
Last updated Jun 26th, 2020 - about 5 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 1780201798 NPPES
Oklahoma MEDICAID 200434450A

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