NPIMap

Organization Active NPI

Ki Bois Community Action Foundation

  • Community/Behavioral Health Agency
  • Wilburton, OK
National Provider Identifier
1386870293
Registry record updated Nov 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KI BOIS COMMUNITY ACTION FOUNDATION
Practice address
309 W Main St
Wilburton, OK 74578-4047
Phone
(918) 465-3381
Fax
(918) 465-3053
NPI assigned
Jun 5, 2009
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 Primary

Addresses

Primary practice location

309 W Main St
Wilburton, OK 74578-4047

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
100680370OMedicaidOK

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.

Locations

309 W Main St
Wilburton, OK 74578
Phone (918) 465-3381

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": "1244160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384992000000",
    "number": "1386870293",
    "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": "309 W MAIN ST",
            "city": "WILBURTON",
            "state": "OK",
            "postal_code": "745784047",
            "telephone_number": "918-465-3381",
            "fax_number": "918-465-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KI BOIS COMMUNITY ACTION FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-05",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100680370O",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Oaks Rehabilitative Services Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilburton, 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.