Oxford Treatment Center, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

OXFORD TREATMENT CENTER, LLC

Practice address

341 E Main St
Tupelo, MS 38804-4025

Phone

(662) 680-2636

Fax

(615) 457-8094

NPI assigned

Aug 10, 2015

Organization subpart

No

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

Authorized official

Name

Mark Stovall

Title

Facility Ceo

Phone

(662) 281-9992

Specialties & licenses 1

Addresses

Tax ID family

Oxford Treatment Center LLC3 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.

• Oxford Treatment Center, LLC

  • Substance Abuse Rehabilitation Facility
  • Etta, MS
  • NPI 1518341742
  NPD tax ID
• Oxford Treatment Center, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Oxford, MS
  • NPI 1619353877
  NPD tax ID

Locations

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629849600000",
    "number": "1194101352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 POWELL PL",
            "address_2": "ATTN: LEGAL DEPARTMENT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277514",
            "telephone_number": "615-732-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 E MAIN ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388044025",
            "telephone_number": "662-680-2636",
            "fax_number": "615-457-8094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXFORD TREATMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-10",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "STOVALL",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "FACILITY CEO",
        "authorized_official_telephone_number": "662-281-9992"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Owen, RN
• Carrie Owens
• Savannah Owens, NNP-BC
• Virginia Owens
• Oxford Maxillofacial Surgery, Inc.
• Oxycare Plus, Inc.
• Sumair Ozair, DO
• Mary Ellis Pace, M.D.
• Samuel C Pace, MD
• Crystal Page

• All providers in Tupelo, MS
• Substance Use Disorder Rehabilitation Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.