Providence Service Corporation

LBN: Providence Service Corporation
Providence Service Corporation is an health care organization with primary practice located at 4645 W Gore Blvd Suite 5, Lawton OK 73505-6041. The organization recently has only one registered license in Agencies / Public Health or Welfare, which is considered as the primary health care specialty. Providence Service Corporation can be contacted via phone (580) 355-6800, or through Martin, Aglaia 'Alexis' via phone (580) 355-6800.

Contact Information

Primary practice address
4645 W Gore Blvd Suite 5 Lawton OK 73505-6041
Phone: (580) 355-6800
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Martin, Aglaia 'Alexis' Licensed Professional Counselor (LPC)
Phone: (580) 355-6800

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X 2560 Oklahoma

Profile Details

NPI number 1821003658
LBN Legal business name Providence Service Corporation
DBA Doing business as
Authorized official Martin, Aglaia 'Alexis' Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Aug 22nd, 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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