NPIMap

Organization Active NPI

Palmer Continuum of Care, Inc.

Doing business as Tulsa Women and Children's Center

  • Substance Abuse Rehabilitation Facility
  • Tulsa, OK
National Provider Identifier
1104049733
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
PALMER CONTINUUM OF CARE, INC.
Doing business as
Tulsa Women and Children's Center
Practice address
2442 Mohawk Blvd
Tulsa, OK 74110-1519
Phone
(918) 430-0975
Fax
(918) 430-0995
NPI assigned
Apr 11, 2007
Last updated
Sep 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Authorized official

Name
Elizabeth Neas, MHR
Title
Executive Director
Phone
(918) 900-2404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

2442 Mohawk Blvd
Tulsa, OK 74110-1519

Mailing address

P.O. Box 580700
Tulsa, OK 74158
Phone (918) 832-7764

Other identifiers 3

IdentifierTypeStateIssuer
100735150 CMedicaidOK
100735150 BMedicaidOK
100735150 AMedicaidOK

Other names 1

  • Tulsa Women and Children's Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Palmer Continuum of Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2442 Mohawk Blvd
Tulsa, OK 74110
Phone (918) 430-0975

Practitioners & affiliated clinicians

Practitioners 42

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600128000000",
    "number": "1104049733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 580700",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74158",
            "telephone_number": "918-832-7764",
            "fax_number": "918-832-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2442 MOHAWK BLVD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741101519",
            "telephone_number": "918-430-0975",
            "fax_number": "918-430-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMER CONTINUUM OF CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "NEAS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "918-900-2404",
        "authorized_official_credential": "MHR"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100735150 C",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100735150 B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100735150 A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tulsa Women and Children's Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tulsa Women and Children's Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.