DERRY HALLMARK – NPI #1699174284
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.

DERRY HALLMARK is a substance abuse rehabilitation facility located in CANADIAN, OK. NPPES has assigned the NPI number 1699174284 to DERRY HALLMARK on August 19, 2014. 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 DERRY HALLMARK below.

NPI Profile for
DERRY HALLMARK

NPI Number
1699174284
Enumeration Date

(about 12 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DERRY HALLMARK
Primary location
69 ARROWHEAD LOOP
CANADIAN, OK 74425-5012
Phone: (918) 339-5800 Fax: (918) 339-5832
Mailing address
Same as primary location
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.