Stigler Health and Wellness Center Inc
Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · McAlester, OK
NPI 1073243648 · NPPES record last updated Jun 15, 2022
Key facts
- NPI
- 1073243648
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
- Legal business name
- STIGLER HEALTH AND WELLNESS CENTER INC
- Practice address
- 628 E Creek Ave
McAlester, OK 74501-6930 - Phone
- (918) 421-3500
- Fax
- (918) 421-2370
- NPI assigned
- Jun 15, 2022
- Organization subpart
- Yes
- Parent organization (as reported)
- STIGLER HEALTH AND WELLNESS CENTER INC
Authorized official
- Name
- Teresa N Huggins
- Title
- Ceo
- Phone
- (918) 967-3368
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 4
Practitioners 46
-
Erin Elane Ashley, PA-C
-
Shelly D Boland, LMSW
-
Eric S. Broadway, M.D.
-
Austin B Byrum, OD
-
Mary Claire Carbonell, APRN
-
Gina Clark, DO
-
Aimee Nicole Freeman, LCSW
-
Deborah A Gale, ANP
-
Taylar Gorgas, LCSW
-
Clark Irvin Grothe, LCSW
-
Jeanne R Guinn, APRN
-
Emily L Harrah, APRN-FNP
-
Tiffany Hunnicutt, LCSW
-
Julie Jarvis, RN
-
Robyn Laughlin, NP
-
Shelby Lehnick, APRN-CNP
-
Ashley Lynn Loewen, LCSW
-
Jamie Ann Lyons, MSW, LCSW
-
Kristina Lyons, APRN
-
Leslie Renae Patten, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Federally qualified health center certification: CCN 371024
- Legal name
- STIGLER HEALTH AND WELLNESS CENTER INC
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Oct 24, 2023
- Last certification
- Oct 24, 2023
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jan 31, 2018 in OK
- Enrollment address
- 609 E Peoria Ave
McAlester, OK 74501-6839
All disclosed owners & managing parties 16
| Name | Role | Since | Share |
|---|---|---|---|
| Jared Rosenberg |
Corporate Officer |
Jan 1, 2023 | |
| Penny Embry |
Corporate Officer |
Jan 1, 2023 | |
| Royce Alverson |
Corporate Officer |
Jan 1, 2023 | |
| Paula Deaton |
Corporate Officer |
Jan 1, 2023 | |
| Wanda Leathers |
Corporate Officer |
Jan 1, 2023 | |
| Michelle Wade |
Corporate Officer |
Jan 1, 2023 | |
| Kristin Peerson |
Corporate Officer |
Jan 1, 2023 | |
| Mitch Girty |
Corporate Officer |
Jan 1, 2023 | |
| Rita Jones |
Corporate Officer |
Jan 1, 2023 | |
| Teresa Huggins |
Corporate Director |
Jan 1, 2023 | |
| Operational/Managerial Control |
Jan 1, 2023 | ||
| Pat Maxwell |
Corporate Officer |
Jan 1, 2023 | |
| Tim Turner |
Corporate Officer |
Jan 1, 2023 | |
| Jessica Graham |
W-2 Managing Employee |
Jan 1, 2023 | |
| Trish McBeath |
Corporate Officer |
Jan 1, 2023 | |
| Erika Martins |
Corporate Officer |
Jan 1, 2023 | |
| Doug Hall |
Corporate Officer |
Jan 1, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231222002203 | OK | Part a Provider - Federally Qualified Health Center (FQHC) | 8022061373 |
1 other NPI on this enrollment Practice locations: McAlester, OK |
National Provider Directory
- Part of
- Stigler Health and Wellness
Locations
628 E Creek Ave
McAlester, OK 74501
Phone (918) 421-3500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Yes |
Addresses
Primary practice location
628 E Creek Ave
McAlester, OK 74501-6930
Mailing address
PO Box 179
Stigler, OK 74462-0179
Phone (918) 967-3368
Other names
- THE OAKS REHABILITATIVE SERVICES CENTER
Other providers in McAlester, OK
- Elissa Rue Steidley
- Stephanie D Sugg DDS, PLLC
- Jamie Suzette Stevens
- Teresa Stevenson
- Alexis Grace Stidmon
- Crystal Stiltner Jr.
- Kyle A Stilwell
- Katie Leigh Stinchcomb
- Martin Stites
- Jason Tipton Stockton
All providers in McAlester, OK · Substance Use Disorder Rehabilitation Clinic/Center in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.