Organization Active NPI

Premier Behavorial Health

  • Community/Behavioral Health Agency
  • Lawton, OK
National Provider Identifier
1295079705
Registry record updated Nov 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PREMIER BEHAVORIAL HEALTH
Practice address
2305 Southwest H Avenue
Suite #1
Lawton, OK 73501
Phone
(580) 699-8551
Fax
(580) 699-8553
NPI assigned
Nov 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2012

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

Authorized official

Name
Dewell Brewer
Title
Director
Phone
(580) 699-8551

Specialties & licenses 1

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

Addresses

Primary practice location

2305 Southwest H Avenue
Suite #1
Lawton, OK 73501

Mailing address

2305 South West H Avenue
Suite #1
Lawton, OK 73501
Phone (580) 699-8551

National Provider Directory

National Provider Directory

Locations

2305 SW H Ave
Ste 1
Lawton, OK 73505
Phone (580) 699-8000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353456000000",
    "number": "1295079705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 SOUTH WEST H AVENUE",
            "address_2": "SUITE #1",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "73501",
            "telephone_number": "580-699-8551",
            "fax_number": "580-699-8553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 SOUTHWEST H AVENUE",
            "address_2": "SUITE #1",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "73501",
            "telephone_number": "580-699-8551",
            "fax_number": "580-699-8553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER BEHAVORIAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-21",
        "last_updated": "2012-11-21",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "DEWELL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "580-699-8551"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.