NPIMap

Organization Active NPI

Southwest Oklahoma Community Action Group, Inc.

  • Home Delivered Meals
  • Altus, OK
National Provider Identifier
1104915107
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Legal business name
SOUTHWEST OKLAHOMA COMMUNITY ACTION GROUP, INC.
Practice address
905 N Willard St
Altus, OK 73521-3237
Phone
(580) 482-1290
Fax
(580) 482-1293
NPI assigned
Oct 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Mr. Neil Montgomery, C.C.A.P.
Title
Executive Director
Phone
(580) 482-5040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X Primary

Addresses

Primary practice location

905 N Willard St
Altus, OK 73521-3237

Mailing address

PO Box 1088
Altus, OK 73522-1088
Phone (580) 482-5040

Other names 1

  • Senior Nutrition Other name

National Provider Directory

National Provider Directory
Tax ID family
Southwest Enterprises6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

905 N Willard St
Altus, OK 73521
Phone (580) 482-1290

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104915107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1088",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735221088",
            "telephone_number": "580-482-5040",
            "fax_number": "580-482-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 N WILLARD ST",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735213237",
            "telephone_number": "580-482-1290",
            "fax_number": "580-482-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST OKLAHOMA COMMUNITY ACTION GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "580-482-5040",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.C.A.P."
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Nutrition",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Altus, 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.