Organization Active NPI

Crisis Control Center

  • Case Management Agency
  • Durant, OK
National Provider Identifier
1083983639
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
7096 Issued in OK
Legal business name
CRISIS CONTROL CENTER
Practice address
115 N 12TH Ave
Suite C
Durant, OK 74701-4767
Phone
(580) 924-3056
NPI assigned
Dec 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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

Authorized official

Name
Gloria A Stephens, CM
Title
Coordinator
Phone
(580) 924-3056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 7096 OK Primary

Addresses

Primary practice location

115 N 12TH Ave
Suite C
Durant, OK 74701-4767

Mailing address

PO Box 113
Durant, OK 74702-0113
Phone (580) 924-3056

National Provider Directory

National Provider Directory

Locations

115 N 12th Ave
Ste C
Durant, OK 74701
Phone (580) 924-3056

NPI Registry JSON

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

{
    "created_epoch": "1324944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324944000000",
    "number": "1083983639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 113",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747020113",
            "telephone_number": "580-924-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N 12TH AVE",
            "address_2": "SUITE C",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747014767",
            "telephone_number": "580-924-3056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISIS CONTROL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-27",
        "last_updated": "2011-12-27",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "COORDINATOR",
        "authorized_official_telephone_number": "580-924-3056",
        "authorized_official_credential": "CM"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "OK",
            "license": "7096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durant, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.