NPIMap

Organization Active NPI

Norman Alcohol Information Center Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Norman, OK
National Provider Identifier
1629130166
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
NORMAN ALCOHOL INFORMATION CENTER INC.
Practice address
2457 Wilcox Dr
Norman, OK 73069-3956
Phone
(405) 321-0022
Fax
(405) 321-0022
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Authorized official

Name
Shayla AdkinsNPI 1699305680
Title
Office Manager
Phone
(405) 321-0022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171W00000X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

2457 Wilcox Dr
Norman, OK 73069-3956

Mailing address

PO Box 730
Norman, OK 73070-0730
Phone (405) 321-0022

Other identifiers 2

IdentifierTypeStateIssuer
1629130166MedicaidOK
100709520AMedicaidOK

Other names 1

  • The Virtue Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240919002934 OK Part B Supplier - Clinic/Group Practice 7416397286 Receives reassigned benefits from 5 practitioners
Practice locations: Norman, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2317429Norman Alcohol Information Center Inc2457 Wilcox Dr, Norman, OK 73069Certificate of waiverJan 23, 2027

National Provider Directory

National Provider Directory
Tax ID family
Norman Alcohol Information Center Inc2 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.

Locations

2457 Wilcox Dr
Norman, OK 73069
Phone (405) 497-7395

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1629130166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 730",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730700730",
            "telephone_number": "405-321-0022",
            "fax_number": "405-360-4918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2457 WILCOX DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730693956",
            "telephone_number": "405-321-0022",
            "fax_number": "405-321-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMAN ALCOHOL INFORMATION CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "ADKINS",
        "authorized_official_first_name": "SHAYLA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "405-321-0022"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629130166",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100709520A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Virtue Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.