EAGLE RIDGE – NPI #1326202003
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

EAGLE RIDGE is a community based residential treatment facility located in GUTHRIE, OK. NPPES has assigned the NPI number 1326202003 to EAGLE RIDGE on July 11, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

The NPI profile was previously updated about 8 years ago on Apr 12, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EAGLE RIDGE below.

NPI Profile for
EAGLE RIDGE

NPI Number
1326202003
Enumeration Date

(about 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EAGLE RIDGE
Primary location
1916 E PERKINS AVE
GUTHRIE, OK 73044-5804
Phone: (405) 282-8262 Fax:
Mailing address
PO BOX 1182
GUTHRIE, OK 73044-1182
Phone: (405) 282-8232 Fax: (405) 282-3305
Organization Subpart
No
Authorized Official
CYNTHIA WILLIS
PERSONNEL & COMPLIANCE OFFICER
Phone: (405) 858-2821
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)
OK

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.