Shadow Mountain Behavioral Health System Pharmacy
LBN: Shadow Mountain Behavioral Health System Llc
Shadow Mountain Behavioral Health System Pharmacy 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 System Llc can be contacted via phone (918) 293-2552, or through Kistler, Mike via phone (918) 492-8200.
Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Psychiatric Residential Treatment Facility | 323P00000X | K8500227 | Oklahoma |
Profile Details
| NPI number | 1316091457 |
|---|---|
| LBN Legal business name | Shadow Mountain Behavioral Health System Llc |
| DBA Doing business as | Shadow Mountain Behavioral Health System Pharmacy |
| Authorized official | Kistler, Mike |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Mar 30th, 2010 - about 15 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 | 1316091457 | NPPES |
| Oklahoma | MEDICAID | 200006820Q |
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