NPIMap

Organization Active NPI

Uhs Oklahoma Ctiy, LLC

  • Psychiatric Residential Treatment Facility
  • Oklahoma City, OK
National Provider Identifier
1124345590
Registry record updated Apr 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
K8500000368 Issued in OK
Legal business name
UHS OKLAHOMA CTIY, LLC
Practice address
6501 NE 50TH St
Oklahoma City, OK 73141-9118
Phone
(405) 605-6111
Fax
(405) 424-0457
NPI assigned
Apr 26, 2010
Last updated
Apr 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2010

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

Authorized official

Name
John A. Holter, RN
Title
Ceo
Phone
40560561111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X K8500000368 OK Primary

Addresses

Primary practice location

6501 NE 50TH St
Oklahoma City, OK 73141-9118

Mailing address

6501 NE 50TH St
Oklahoma City, OK 73141-9118
Phone (405) 605-6111

Other identifiers 1

IdentifierTypeStateIssuer
200085660EMedicaidOK

Other names 1

  • Cedar Ridge Adolescent RTC Other name

National Provider Directory

National Provider Directory
Tax ID family
Uhs Oklahoma City LLC6 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.

NPI Registry JSON

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272240000000",
    "number": "1124345590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 NE 50TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731419118",
            "telephone_number": "405-605-6111",
            "fax_number": "405-424-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 NE 50TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731419118",
            "telephone_number": "405-605-6111",
            "fax_number": "405-424-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UHS OKLAHOMA CTIY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-26",
        "last_updated": "2010-04-26",
        "status": "A",
        "authorized_official_last_name": "HOLTER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "40560561111",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "OK",
            "license": "K8500000368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200085660E",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Ridge Adolescent RTC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; 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.