EAGLE RIDGE INSTITUTE – NPI #1164544599
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

EAGLE RIDGE INSTITUTE is a substance abuse rehabilitation facility located in GUTHRIE, OK. NPPES has assigned the NPI number 1164544599 to EAGLE RIDGE INSTITUTE on April 05, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. EAGLE RIDGE INSTITUTE is also known by the name EAGLE RIDGE FAMILY TREATMENT CENTER. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 INSTITUTE below.

NPI Profile for
EAGLE RIDGE INSTITUTE

NPI Number
1164544599
Enumeration Date

(more than 19 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 INSTITUTE
Other Name: EAGLE RIDGE FAMILY TREATMENT CENTER
Primary location
5427 EASY ST
GUTHRIE, OK 73044-6621
Phone: (405) 282-4377 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOHN MAYFIELD
OWNER
Phone: (405) 840-1359
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
324500000X
- Substance Abuse Rehabilitation Facility (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.