Shadow Mountain Behavioral Health Care System

LBN: Shadow Mountain Behavioral Health Care System, Llc
Shadow Mountain Behavioral Health Care System is an health care organization with primary practice located at 1027 E 66Th Pl , Tulsa OK 74136-3701. The organization recently has only one registered license in Residential Treatment Facilities / Psychiatric Residential Treatment Facility, which is considered as the primary health care specialty. Shadow Mountain Behavioral Health Care System, Llc can be contacted via phone (918) 492-8200, or through Filton, Steve via phone (610) 768-3300.

Contact Information

Primary practice address
1027 E 66Th Pl Tulsa OK 74136-3701
Phone: (918) 492-8200
Fax: (918) 493-3268
Website:
Map and Directions
Authorized official contact:
Name: Filton, Steve
Phone: (610) 768-3300

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X K8500227 Oklahoma

Profile Details

NPI number 1982758538
LBN Legal business name Shadow Mountain Behavioral Health Care System, Llc
DBA Doing business as Shadow Mountain Behavioral Health Care System
Authorized official Filton, Steve
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2007
Last updated May 12th, 2011 - about 14 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 1982758538 NPPES
Oklahoma MEDICAID 200006820G

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