Parkside Professional
LBN: Parkside, Inc.
Parkside Professional is an health care organization with primary practice located at 1620 E 12Th St , Tulsa OK 74120-5407. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty.
Parkside, Inc. can be contacted via phone (918) 588-8874, or through Moore, Saunya D. via phone (918) 588-8874.
Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | 2261 | Oklahoma |
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X | 2261 | Oklahoma |
Profile Details
| NPI number | 1356552111 |
|---|---|
| LBN Legal business name | Parkside, Inc. |
| DBA Doing business as | Parkside Professional |
| Authorized official | Moore, Saunya D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 24th, 2007 |
| Last updated | Oct 31st, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356552111 | NPPES |
| Oklahoma | MEDICAID | 100738360D |
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