NPIMap

Organization Active NPI

Cornerstone Clinical Services, Inc

  • Community/Behavioral Health Agency
  • Duncan, OK
National Provider Identifier
1194191601
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
100747400 Issued in OK
Legal business name
CORNERSTONE CLINICAL SERVICES, INC
Practice address
1408 W Elder Ave
Duncan, OK 73533-4022
Phone
(580) 595-7000
Fax
(580) 595-7005
NPI assigned
Aug 19, 2015
Last updated
Sep 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Authorized official

Name
Mr. Darrell Smith
Title
President
Phone
(580) 595-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 100747400 OK Primary

Addresses

Primary practice location

1408 W Elder Ave
Duncan, OK 73533-4022

Mailing address

507 S Willow St
Suite B
Pauls Valley, OK 73075-3849
Phone (405) 207-9131

Other identifiers 1

IdentifierTypeStateIssuer
100747400CMedicaidOK

National Provider Directory

National Provider Directory
Tax ID family
Cornerstone Clinical Service8 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

507 S Willow St
#B
Pauls Valley, OK 73075

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1194191601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 S WILLOW ST",
            "address_2": "SUITE B",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730753849",
            "telephone_number": "405-207-9131",
            "fax_number": "888-411-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 W ELDER AVE",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735334022",
            "telephone_number": "580-595-7000",
            "fax_number": "580-595-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE CLINICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-595-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "100747400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100747400C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncan, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.