Parkside Outpatient

LBN: Parkside, Inc.
Parkside Outpatient is an health care organization with primary practice located at 1620 E 12Th St , Tulsa OK 74120-5407. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Hospitals / Psychiatric Hospital. Hospitals / Psychiatric Hospital is the primary health care specialty. Parkside, Inc. can be contacted via phone (918) 582-2131, or through Moore, Saunya D via phone (918) 582-2131.

Contact Information

Primary practice address
1620 E 12Th St Tulsa OK 74120-5407
Phone: (918) 582-2131
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Moore, Saunya D
Phone: (918) 582-2131

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 2261 Oklahoma
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X 2261 Oklahoma
Hospitals / Psychiatric Hospital 283Q00000X 2261 Oklahoma

Profile Details

NPI number 1851327464
LBN Legal business name Parkside, Inc.
DBA Doing business as Parkside Outpatient
Authorized official Moore, Saunya D
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851327464 NPPES
Oklahoma MEDICAID 100738360B
Oklahoma Other A00174120
Oklahoma Other 000374005-001
Oklahoma MEDICAID 100738360C

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