NPIMap

Organization Active NPI

Palmer Continuum of Care

Doing business as Palmer Drug Abuse Program

  • Addiction (Substance Use Disorder) Counselor
  • Tulsa, OK
National Provider Identifier
1629359880
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
PALMER CONTINUUM OF CARE
Doing business as
Palmer Drug Abuse Program
Practice address
5319 S Lewis Ave
Tulsa, OK 74105-6500
Phone
(918) 832-7763
Fax
(918) 292-8250
NPI assigned
Sep 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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

Authorized official

Name
Mr. Greg Sneed
Title
Executive Director
Phone
(918) 832-7763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

5319 S Lewis Ave
Tulsa, OK 74105-6500

Mailing address

5319 S Lewis Ave
Tulsa, OK 74105-6500
Phone (918) 832-7763

Other identifiers 3

IdentifierTypeStateIssuer
100735150 CMedicaidOK
100735150 BMedicaidOK
100735150 AMedicaidOK

Other names 1

  • Palmer Drug Abuse Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Palmer Continuum of Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

5319 S Lewis Ave
Tulsa, OK 74105
Phone (918) 832-7763

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456272000000",
    "number": "1629359880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5319 S LEWIS AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056500",
            "telephone_number": "918-832-7763",
            "fax_number": "918-292-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5319 S LEWIS AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056500",
            "telephone_number": "918-832-7763",
            "fax_number": "918-292-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMER CONTINUUM OF CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-01",
        "last_updated": "2016-02-24",
        "status": "A",
        "authorized_official_last_name": "SNEED",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "918-832-7763",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100735150 C",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100735150 B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100735150 A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palmer Drug Abuse Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.