STATE OF OKLAHOMA – NPI #1700950201
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.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

STATE OF OKLAHOMA is a substance abuse rehabilitation facility located in WOODWARD, OK. NPPES has assigned the NPI number 1700950201 to STATE OF OKLAHOMA on November 17, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 4 years ago on Mar 24, 2022. 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 STATE OF OKLAHOMA below.

NPI Profile for
STATE OF OKLAHOMA

NPI Number
1700950201
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
STATE OF OKLAHOMA
Primary location
5050 WILLIAMS AVENUE
NORTHWEST CENTER FOR BEHAVIORAL HEALTH
WOODWARD, OK 73801
Phone: (580) 256-9700 Fax: (580) 256-9704
Mailing address
1222 10TH STREET, SUITE 211
NORTHWEST CENTER FOR BEHAVIORAL HEALTH
WOODWARD, OK 73801-3156
Phone: (580) 571-3217 Fax: (580) 256-8609
Organization Subpart
No
Authorized Official
AUTUMN NICKELSON
EXECUTIVE DIRECTOR
Phone: (580) 571-3231
Updated
Certification Date
Mar 24, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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.