JACKIE FIELDS FOUNDATION – NPI #1578865317
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
JACKIE FIELDS FOUNDATION is a community based residential treatment facility located in MUSKOGEE, OK. NPPES has assigned the NPI number 1578865317 to JACKIE FIELDS FOUNDATION on November 30, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
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 JACKIE FIELDS FOUNDATION below.
NPI Profile for
JACKIE FIELDS FOUNDATION
(more than 15 years ago)
MUSKOGEE, OK 74402 Phone: (918) 913-6017 Fax:
MUSKIGEE, OK 74402 Phone: (918) 913-6017 Fax:
CEO
Phone: (918) 913-6017
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 |
|---|---|---|
| 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary) |
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.