LAVINA K. CLARK – NPI #1417297680
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.

LAVINA CLARK is a substance abuse rehabilitation facility located in PAWHUSKA, OK. NPPES has assigned the NPI number 1417297680 to LAVINA CLARK on February 25, 2013. It is a Type-1 NPI, indicating this NPI number is associated with an individual. 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.

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 LAVINA CLARK below.

NPI Profile for
LAVINA K. CLARK

NPI Number
1417297680
Enumeration Date

(more than 13 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
LAVINA K. CLARK
Primary location
126 E 6TH ST
PAWHUSKA, OK 74056-4204
Phone: (918) 287-5425 Fax: (918) 287-1096
Mailing address
2207 BAYLISS AVE
PAWHUSKA, OK 74056-9442
Phone: (918) 287-5425 Fax: (918) 287-1096
Sole Proprietor
Yes
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)

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.