NPIMap

Organization Active NPI

Southeastern Oklahoma Family Services, Inc

  • Community/Behavioral Health Agency
  • Checotah, OK
National Provider Identifier
1376884312
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SOUTHEASTERN OKLAHOMA FAMILY SERVICES, INC
Practice address
113653 Old Highway 69
Checotah, OK 74426-8802
Phone
(918) 490-2073
NPI assigned
Mar 14, 2013
Last updated
Nov 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Authorized official

Name
Bre'Yon James
Title
Director of Operations
Phone
(918) 490-3800

Specialties & licenses 1

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

Addresses

Primary practice location

113653 Old Highway 69
Checotah, OK 74426-8802

Mailing address

PO Box 1710
Kingston, OK 73439-1710
Phone (580) 564-7374

Other identifiers 1

IdentifierTypeStateIssuer
100708380MedicaidOK

National Provider Directory

National Provider Directory
Tax ID family
Southeastern Oklahoma Family Services Inc19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1376884312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1710",
            "city": "KINGSTON",
            "state": "OK",
            "postal_code": "734391710",
            "telephone_number": "580-564-7374",
            "fax_number": "580-745-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113653 OLD HIGHWAY 69",
            "city": "CHECOTAH",
            "state": "OK",
            "postal_code": "744268802",
            "telephone_number": "918-490-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN OKLAHOMA FAMILY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-14",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "BRE'YON",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "918-490-3800"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100708380",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Checotah, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.