Meadow Brook Outpatient Treatment Center #2

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MEADOW BROOK OUTPATIENT TREATMENT CENTER #2

Practice address

212 E. Choctaw
Sallisaw, OK 74955-0000

Phone

(918) 235-9903

Fax

(918) 658-2180

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Bobby D. Cox

Title

Owner

Phone

(918) 658-2509

Specialties & licenses 1

Addresses

Tax ID family

Meadow Brook Outpatient Treatment Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Meadow Brook Outpatient Treatment Center

  • Community/Behavioral Health Agency
  • Howe, OK
  • NPI 1699899765
  NPD tax ID

Locations

Practitioners 1

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

• Beckie Johnson

  • Case Manager/Care Coordinator
  • Howe, OK
  • NPI 1659795268
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508980673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MEADOW LANE",
            "city": "HOWE",
            "state": "OK",
            "postal_code": "749400000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 E. CHOCTAW",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749550000",
            "telephone_number": "918-235-9903",
            "fax_number": "918-658-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOW BROOK OUTPATIENT TREATMENT CENTER #2",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-658-2509",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tommy Lee McCreight, DDS
• Lauren Virginia McElhaney
• April Rashel McGarrah
• Brandi McGinnis
• Skylar McKinney
• Nicole Medak
• Medz Group LLC
• Michelle L Cardin
• Brittanie Mills
• Melissa Diane Mills, REGISTERED NURSE

• All providers in Sallisaw, OK
• Community/Behavioral Health Agency in Oklahoma

• 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.