NPIMap

Organization Active NPI

Northwest Treatment Center

  • Substance Abuse Rehabilitation Facility
  • Waynoka, OK
National Provider Identifier
1467703348
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
NORTHWEST TREATMENT CENTER
Practice address
1095 Nickerson St
Waynoka, OK 73860-1252
Phone
(580) 824-0674
NPI assigned
Oct 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Authorized official

Name
Mrs. Kristen Ross
Title
Director
Phone
(580) 824-0674

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X OK Primary

Addresses

Primary practice location

1095 Nickerson St
Waynoka, OK 73860-1252

Mailing address

1095 Nickerson St
Waynoka, OK 73860-1252
Phone (580) 824-0674

National Provider Directory

National Provider Directory
Tax ID family
Northwest Treatment Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1095 Nickerson St
Waynoka, OK 73860
Phone (580) 824-0674

NPI Registry JSON

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1467703348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 NICKERSON ST",
            "city": "WAYNOKA",
            "state": "OK",
            "postal_code": "738601252",
            "telephone_number": "580-824-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 NICKERSON ST",
            "city": "WAYNOKA",
            "state": "OK",
            "postal_code": "738601252",
            "telephone_number": "580-824-0674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-02",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "580-824-0674",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynoka, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.