NPIMap

Organization Active NPI

Chickasaw Nation

  • Substance Abuse Rehabilitation Facility
  • Pauls Valley, OK
National Provider Identifier
1114266152
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
171M00000X Issued in OK
Legal business name
CHICKASAW NATION
Practice address
101 Arrowhead Dr
Pauls Valley, OK 73075-5301
Phone
(405) 331-2300
Fax
(405) 331-2302
NPI assigned
Feb 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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

Authorized official

Name
Mr. Todd Crawford
Title
Director Community Based Services-
Phone
(580) 559-0810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 171M00000X OK Primary

Addresses

Primary practice location

101 Arrowhead Dr
Pauls Valley, OK 73075-5301

Mailing address

1400 Hoppe Blvd Ste 2
Ada, OK 74820-2313
Phone (580) 559-0810

National Provider Directory

National Provider Directory
Tax ID family
Chokka Kilimpi Family Resource Center7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

1400 Hoppe Blvd
Ste 2
Ada, OK 74820
Phone (580) 559-0810

Practitioners & affiliated clinicians

Practitioners 7

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": "1360627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360627200000",
    "number": "1114266152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 HOPPE BLVD STE 2",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748202313",
            "telephone_number": "580-559-0810",
            "fax_number": "580-272-5734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ARROWHEAD DR",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730755301",
            "telephone_number": "405-331-2300",
            "fax_number": "405-331-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICKASAW NATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-12",
        "last_updated": "2013-02-12",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "DIRECTOR COMMUNITY BASED SERVICES-",
        "authorized_official_telephone_number": "580-559-0810",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "OK",
            "license": "171M00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pauls Valley, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.