NPIMap

Organization Active NPI

Ki Bois Community Action Foundation

  • Community/Behavioral Health Agency
  • Eufaula, OK
National Provider Identifier
1215099510
Registry record updated Nov 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
01-1372703 Issued in OK
Legal business name
KI BOIS COMMUNITY ACTION FOUNDATION
Practice address
107 McKinley St
Eufaula, OK 74432-3052
Phone
(918) 689-3265
Fax
(918) 689-3359
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2013

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

Authorized official

Name
Mr. R. Carroll Huggins
Title
Executive Director/Ceo
Phone
(918) 967-3325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 01-1372703 OK Primary

Addresses

Primary practice location

107 McKinley St
Eufaula, OK 74432-3052

Mailing address

PO Box 727
Stigler, OK 74462-0727
Phone (918) 967-3325

Other identifiers 2

IdentifierTypeStateIssuer
100680370TMedicaidOK
100707530EMedicaidOK

Other names 1

  • The Oaks Rehabilitative Services Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ki Bois Community Action Foundation Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384992000000",
    "number": "1215099510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 727",
            "city": "STIGLER",
            "state": "OK",
            "postal_code": "744620727",
            "telephone_number": "918-967-3325",
            "fax_number": "918-967-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 MCKINLEY ST",
            "city": "EUFAULA",
            "state": "OK",
            "postal_code": "744323052",
            "telephone_number": "918-689-3265",
            "fax_number": "918-689-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KI BOIS COMMUNITY ACTION FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2013-11-21",
        "status": "A",
        "authorized_official_last_name": "HUGGINS",
        "authorized_official_first_name": "R.",
        "authorized_official_middle_name": "CARROLL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/CEO",
        "authorized_official_telephone_number": "918-967-3325",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "01-1372703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100680370T",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100707530E",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Oaks Rehabilitative Services Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eufaula, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; 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.