NPIMap

Organization Active NPI

McCurtain Memorial Medical Management, Inc.

Doing business as Southeast Regional Psychiatric Services

  • Psychiatry Physician
  • Idabel, OK
National Provider Identifier
1578704698
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC.
Doing business as
Southeast Regional Psychiatric Services
Practice address
1425 E Lincoln Rd
Suite a-2
Idabel, OK 74745-7345
Phone
(580) 286-4306
Fax
(580) 286-4308
NPI assigned
Mar 19, 2009
Last updated
Mar 19, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Authorized official

Name
Mr. Ray B Whitmore Jr.
Title
Cfo
Phone
(580) 208-3104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

1425 E Lincoln Rd
Suite a-2
Idabel, OK 74745-7345

Mailing address

1301 E Lincoln Rd
Idabel, OK 74745-7300
Phone (580) 208-3100

Other names 1

  • Southeast Regional Psychiatric Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
MCC Mem Med Services16 organizations share this tax ID, including this one
Part of
MCC Mem Med Services

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1578704698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 E LINCOLN RD",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747457300",
            "telephone_number": "580-208-3100",
            "fax_number": "580-208-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 E LINCOLN RD",
            "address_2": "SUITE A-2",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747457345",
            "telephone_number": "580-286-4306",
            "fax_number": "580-286-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC.",
        "enumeration_date": "2009-03-19",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "WHITMORE",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "580-208-3104",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeast Regional Psychiatric Services",
            "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 Mar 19, 2009; 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.