NPIMap

Organization Active NPI

Clay Crossing Foundation Inc

  • Community/Behavioral Health Agency
  • Maud, OK
National Provider Identifier
1508999319
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
CLAY CROSSING FOUNDATION INC
Practice address
Hwy 59 and County Crossroad
#Ew133
Maud, OK 74854
Phone
(405) 374-1258
Fax
(405) 374-1258
NPI assigned
Mar 13, 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
Jim N Schmidt, ICADC
Title
Program Director President
Phone
(405) 374-1225

Specialties & licenses 1

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

Addresses

Primary practice location

Hwy 59 and County Crossroad
#Ew133
Maud, OK 74854

Mailing address

PO Box 8
Maud, OK 74854
Phone (405) 374-1225

National Provider Directory

National Provider Directory
Tax ID family
Clay Crossing Foundation2 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.

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508999319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8",
            "city": "MAUD",
            "state": "OK",
            "postal_code": "74854",
            "telephone_number": "405-374-1225",
            "fax_number": "405-374-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWY 59 AND COUNTY CROSSROAD",
            "address_2": "#EW133",
            "city": "MAUD",
            "state": "OK",
            "postal_code": "74854",
            "telephone_number": "405-374-1258",
            "fax_number": "405-374-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY CROSSING FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "JIM",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR PRESIDENT",
        "authorized_official_telephone_number": "405-374-1225",
        "authorized_official_credential": "ICADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maud, 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.