NPIMap

Organization Active NPI

Sheltered Work Activity Program

  • Case Manager/Care Coordinator
  • Muskogee, OK
National Provider Identifier
1174903934
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
SHELTERED WORK ACTIVITY PROGRAM
Practice address
210 E Okmulgee St
Muskogee, OK 74403-5453
Phone
(918) 683-8162
Fax
(918) 687-5368
NPI assigned
Jun 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2015

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

Authorized official

Name
Ms. Betsy Breen
Title
Ceo
Phone
(918) 683-8162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

210 E Okmulgee St
Muskogee, OK 74403-5453

Mailing address

210 E Okmulgee St
Muskogee, OK 74403-5453
Phone (918) 683-8162

Other names 1

  • Incor Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sheltered Work Activity Program Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

210 E Okmulgee St
Muskogee, OK 74403
Phone (918) 683-8162

NPI Registry JSON

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1174903934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E OKMULGEE ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744035453",
            "telephone_number": "918-683-8162",
            "fax_number": "918-687-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E OKMULGEE ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744035453",
            "telephone_number": "918-683-8162",
            "fax_number": "918-687-5368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELTERED WORK ACTIVITY PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "BREEN",
        "authorized_official_first_name": "BETSY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-683-8162",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Incor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muskogee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.