Organization Active NPI

Keetoowah - Cherokee Treatment Services

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Tulsa, OK
National Provider Identifier
1124228127
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X
License
ODMHSAS Issued in OK
Legal business name
KEETOOWAH - CHEROKEE TREATMENT SERVICES
Practice address
2727 E Admiral PL
Tulsa, OK 74110-5436
Phone
(918) 835-3017
Fax
(918) 835-0358
NPI assigned
Jul 19, 2007
Last updated
Jan 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Authorized official

Name
Joseph D Jenkins
Title
Director
Phone
(918) 835-3017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Hospital Unit 276400000X ODMHSAS OK Primary

Addresses

Primary practice location

2727 E Admiral PL
Tulsa, OK 74110-5436

Mailing address

2727 E Admiral PL
Tulsa, OK 74110-5436
Phone (918) 835-3017

National Provider Directory

National Provider Directory
Tax ID family
Keetoowah - Cherokee Treatment Services3 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

704 S 2nd St
Stilwell, OK 74960
Phone (918) 410-0079

1640 W Keetoowah St
Tahlequah, OK 74464
Phone (918) 456-2250

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1124228127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 E ADMIRAL PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741105436",
            "telephone_number": "918-835-3017",
            "fax_number": "918-835-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 E ADMIRAL PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741105436",
            "telephone_number": "918-835-3017",
            "fax_number": "918-835-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEETOOWAH - CHEROKEE TREATMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "918-835-3017"
    },
    "taxonomies": [
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": "OK",
            "license": "ODMHSAS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 30, 2014; 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.