Social Services Foundation of Southern Oklahoma, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SOCIAL SERVICES FOUNDATION OF SOUTHERN OKLAHOMA, INC.

Doing business as

Southern Oklahoma Lifeline

Practice address

1710 N Broadway Ave
Suite 2
Ada, OK 74820-1406

Phone

(580) 421-2414

Fax

(580) 332-1074

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Patricia Ann Peay

Title

Director

Phone

(580) 421-2414

Specialties & licenses 1

Addresses

Other names 1

• Southern Oklahoma Lifeline Doing business as

Tax ID family

Social Services Foundation of Southern Oklahoma Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Social Services Foundation of Southern Oklahoma, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Ada, OK
  • NPI 1760574453
  NPD tax ID

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205993235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 592",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748210592",
            "telephone_number": "580-421-2414",
            "fax_number": "580-332-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 N BROADWAY AVE",
            "address_2": "SUITE 2",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748201406",
            "telephone_number": "580-421-2414",
            "fax_number": "580-332-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL SERVICES FOUNDATION OF SOUTHERN OKLAHOMA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEAY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "580-421-2414"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Oklahoma Lifeline",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roderic A Smith, M.D.
• Chelsey Lynn Smothers, APRN-CNP
• Lilly Erin Snider
• Sherry L. Snider
• Christie Snow, M.D.
• Social Services Foundation of Southern Oklahoma, Inc.
• Ronda Sockey
• Jorge Luis Solorzano, O.D.
• Laura K Soper, P.A.
• South Central Oklahoma Radiology PLLC

• Durable Medical Equipment & Medical Supplies in Ada, OK
• Providers in Ada, OK by specialty
• Durable Medical Equipment & Medical Supplies in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.