Tiger Mountain Recovery Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

TIGER MOUNTAIN RECOVERY INC.

Practice address

316 W Main St
Henryetta, OK 74437

Phone

(918) 650-9292

Fax

(918) 650-9720

NPI assigned

Feb 14, 2012

Last updated

Jul 13, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leah M LedfordNPI 1063831949

Title

Program Director

Phone

(918) 319-7545

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Leah Ledford

  • Substance Abuse Rehabilitation Facility
  • Henryetta, OK
  • NPI 1063831949
  NPD Authorized official
• Katelyn Cheyanne Carpenter

  • Peer Specialist
  • Henryetta, OK
  • NPI 1871105452
  NPD (past)
• Linda Carol Jordan

  • Addiction (Substance Use Disorder) Counselor
  • Henryetta, OK
  • NPI 1184012452
  NPD (past)

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531440000000",
    "number": "1598038028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 W MAIN ST",
            "city": "HENRYETTA",
            "state": "OK",
            "postal_code": "744374240",
            "telephone_number": "918-650-9292",
            "fax_number": "918-650-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W MAIN ST",
            "city": "HENRYETTA",
            "state": "OK",
            "postal_code": "74437",
            "telephone_number": "918-650-9292",
            "fax_number": "918-650-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIGER MOUNTAIN RECOVERY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-14",
        "last_updated": "2018-07-13",
        "status": "A",
        "authorized_official_last_name": "LEDFORD",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "918-319-7545"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audie Granville Swinney, MD
• Tammy Evans Ms LPCS PLLC
• Carol Ray Taylor, PTA
• Rebekah R Tedlock
• Tom D Thomas, D.C.
• Tommy D. Thomas
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0247)
• Alivia Ward
• David Lee Warden, D.D.S.
• Staci Welch

• Substance Abuse Rehabilitation Facility in Henryetta, OK
• Providers in Henryetta, OK by specialty
• Substance Abuse Rehabilitation Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; 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.