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Brighter Heights Oklahoma, LLC

Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Poteau, OK

NPI 1154485225 · NPPES record last updated Jun 28, 2024

Key facts

NPI
1154485225
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Legal business name
BRIGHTER HEIGHTS OKLAHOMA, LLC
Practice address
401 N Church St
Poteau, OK 74953-3502
Phone
(918) 649-0230
Fax
(918) 649-1492
NPI assigned
Dec 21, 2006
Organization subpart
No

Authorized official

Name
Dorothy McKinnon, MSW, LCSW, LADC
Title
Exec Dir
Phone
(580) 298-2830

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 35

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

View all 35

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2171186Brighter Heights Oklahoma
401 N Church, Ste B, Poteau, OK 74953		Certificate of waiverAug 26, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OK

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20240819004343 OK Part B Supplier - Clinic/Group Practice 5294031167 Receives reassigned benefits from 12 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Poteau, OK; Idabel, OK; Durant, OK; Antlers, OK; Hugo, OK

National Provider Directory

Tax ID family
Sequelcare of Oklahoma LLC (36 organizations share this tax ID)

Locations

2816 E Jackson St
Hugo, OK 74743
Phone (580) 326-2155

1907 N Broadway St
Poteau, OK 74953
Phone (918) 649-0230

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Yes

Addresses

Primary practice location

401 N Church St
Poteau, OK 74953-3502

Mailing address

PO Box 1030
Antlers, OK 74523-1030
Phone (580) 298-2830

Other identifiers

IdentifierTypeStateIssuer
100744370TMedicaidOK

Other names

  • Brighter Heights Oklahoma Doing business as

Other providers in Poteau, OK

All providers in Poteau, OK · Mental Health Clinic/Center (Including Community Mental Health Center) in Oklahoma

Sources for this page

Verify at the official NPI Registry.