NPIMap

Organization Active NPI

Red Rock

  • Community/Behavioral Health Agency
  • El Reno, OK
National Provider Identifier
1053517136
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RED ROCK
Practice address
200 N Choctaw Ave
El Reno, OK 73036-2624
Phone
(405) 262-3209
NPI assigned
Jun 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miss Courtney M Humphrey, BHRS
Title
Care Coordinator
Phone
(405) 262-3209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

200 N Choctaw Ave
El Reno, OK 73036-2624

Mailing address

747 W Juniper Dr
Mustang, OK 73064-3042
Phone (405) 401-1962

National Provider Directory

National Provider Directory

Locations

200 N Choctaw Ave
El Reno, OK 73036
Phone (405) 262-3209

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053517136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 W JUNIPER DR",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730643042",
            "telephone_number": "405-401-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N CHOCTAW AVE",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730362624",
            "telephone_number": "405-262-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED ROCK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUMPHREY",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CARE COORDINATOR",
        "authorized_official_telephone_number": "405-262-3209",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "BHRS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Reno, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.