NPIMap

Organization Active NPI

Kiamichi Council on Alcoholism and Or Other Drug Abuse, Inc.

Doing business as Kiamichi Council

  • Community/Behavioral Health Agency
  • Idabel, OK
National Provider Identifier
1407972847
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KIAMICHI COUNCIL ON ALCOHOLISM AND OR OTHER DRUG ABUSE, INC.
Doing business as
Kiamichi Council
Practice address
104 N.E. Ave. a
Idabel, OK 74745-0689
Phone
(580) 286-3301
Fax
(580) 286-6385
NPI assigned
Mar 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Dorthea L. Whitten
Title
Executive Director
Phone
(580) 286-3301

Specialties & licenses 1

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

Addresses

Primary practice location

104 N.E. Ave. a
Idabel, OK 74745-0689

Mailing address

P.O. Box 689
104 NE Avenue a
Idabel, OK 74745-0689
Phone (580) 286-3301

Other names 1

  • Kiamichi Council Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kiamichi Council4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

104 NE Avenue A
Idabel, OK 74745
Phone (580) 212-9175

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407972847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 689",
            "address_2": "104 NE AVENUE A",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747450689",
            "telephone_number": "580-286-3301",
            "fax_number": "580-286-6385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N.E. AVE. A",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747450689",
            "telephone_number": "580-286-3301",
            "fax_number": "580-286-6385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIAMICHI COUNCIL ON ALCOHOLISM AND OR OTHER DRUG ABUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITTEN",
        "authorized_official_first_name": "DORTHEA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "580-286-3301",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kiamichi Council",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Idabel, OK

Sources for this page

  • 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.