NPIMap

Organization Active NPI

Cornerstone Clinical Services, Inc

  • Community/Behavioral Health Agency
  • Duncan, OK
National Provider Identifier
1568668481
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
100747400A Issued in OK
Legal business name
CORNERSTONE CLINICAL SERVICES, INC
Practice address
1408 W Elk Ave
Duncan, OK 73533-3736
Phone
(580) 595-7000
Fax
(580) 595-7005
NPI assigned
Jun 26, 2007
Last updated
Nov 28, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
CORNERSTONE CLINICAL SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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

Authorized official

Name
Mr. Darrell Eugene Smith, M.ED.
Title
President
Phone
(580) 595-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 100747400A OK Primary

Addresses

Primary practice location

1408 W Elk Ave
Duncan, OK 73533-3736

Mailing address

1408 W Elder Ave
Duncan, OK 73533-4022
Phone (580) 470-8898

Other identifiers 1

IdentifierTypeStateIssuer
100747400AMedicaidOK

National Provider Directory

National Provider Directory
Tax ID family
Cornerstone Clin SVCS Inc8 organizations share this tax ID, including this one
Part of
Cornerstone Clin SVCS Inc

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480291200000",
    "number": "1568668481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 W ELDER AVE",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735334022",
            "telephone_number": "580-470-8898",
            "fax_number": "580-786-2786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 W ELK AVE",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735333736",
            "telephone_number": "580-595-7000",
            "fax_number": "580-595-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE CLINICAL SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORNERSTONE CLINICAL SERVICES, INC.",
        "enumeration_date": "2007-06-26",
        "last_updated": "2016-11-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-595-7000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "100747400A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100747400A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncan, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.