NPIMap

Organization Active NPI

Southwest Oklahoma Community Action Group, Inc.

  • Adult Day Care Clinic/Center
  • Altus, OK
National Provider Identifier
1598854598
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
DC3301-3301 Issued in OK
Legal business name
SOUTHWEST OKLAHOMA COMMUNITY ACTION GROUP, INC.
Practice address
2208 Enterprise Dr
Altus, OK 73521-5843
Phone
(580) 477-0701
Fax
(580) 477-0702
NPI assigned
Oct 11, 2006
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
Mr. Neil Montgomery, C.C.A.P.
Title
Executive Director
Phone
(580) 482-5040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X DC3301-3301 OK Primary

Addresses

Primary practice location

2208 Enterprise Dr
Altus, OK 73521-5843

Mailing address

PO Box 1088
Altus, OK 73522-1088
Phone (580) 482-5040

Other names 1

  • SW Adult Daycare Other name

National Provider Directory

National Provider Directory
Tax ID family
Southwest Enterprises6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598854598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1088",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735221088",
            "telephone_number": "580-482-5040",
            "fax_number": "580-482-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 ENTERPRISE DR",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735215843",
            "telephone_number": "580-477-0701",
            "fax_number": "580-477-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST OKLAHOMA COMMUNITY ACTION GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "580-482-5040",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.C.A.P."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "OK",
            "license": "DC3301-3301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SW Adult Daycare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Altus, 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.