Providence Of Oklahoma

LBN: Providence Service Corporation Of Oklahoma
Providence Of Oklahoma is an health care organization with primary practice located at 4645 W Gore Blvd Ste 5 , Lawton OK 73505-5962. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Providence Service Corporation Of Oklahoma can be contacted via phone (580) 355-6800, or through Hoerning, Breeann Marie via phone (520) 747-6600.

Contact Information

Primary practice address
4645 W Gore Blvd Ste 5 Lawton OK 73505-5962
Phone: (580) 355-6800
Fax: (580) 355-0666
Website:
Map and Directions
Authorized official contact:
Name: Hoerning, Breeann Marie
Phone: (520) 747-6600

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1033279443
LBN Legal business name Providence Service Corporation Of Oklahoma
DBA Doing business as Providence Of Oklahoma
Authorized official Hoerning, Breeann Marie
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 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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