NPIMap

Organization Active NPI

Ki Bois Community Action Foundation

Doing business as The Oaks Rehabilitative Services Center

  • Community/Behavioral Health Agency
  • McAlester, OK
National Provider Identifier
1669533634
Registry record updated Nov 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
01-1372703 Issued in OK
Legal business name
KI BOIS COMMUNITY ACTION FOUNDATION
Doing business as
The Oaks Rehabilitative Services Center
Practice address
628 E Creek Ave
McAlester, OK 74501-6930
Phone
(918) 421-3500
Fax
(918) 423-2370
NPI assigned
Dec 13, 2006
Last updated
Nov 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2013

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

Authorized official

Name
Mr. R. Carroll Huggins
Title
Executive Director/Ceo
Phone
(918) 967-3325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 01-1372703 OK Primary

Addresses

Primary practice location

628 E Creek Ave
McAlester, OK 74501-6930

Mailing address

628 E Creek Ave
P.O. Box 1404
McAlester, OK 74501-6930
Phone (918) 421-3500

Other identifiers 2

IdentifierTypeStateIssuer
100680370UMedicaidOK
100707530AMedicaidOK

Other names 1

  • The Oaks Rehabilitative Services Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ki Bois Community Action Foundation Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384992000000",
    "number": "1669533634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 E CREEK AVE",
            "address_2": "P.O. BOX 1404",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745016930",
            "telephone_number": "918-421-3500",
            "fax_number": "918-423-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 E CREEK AVE",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745016930",
            "telephone_number": "918-421-3500",
            "fax_number": "918-423-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KI BOIS COMMUNITY ACTION FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2013-11-21",
        "status": "A",
        "authorized_official_last_name": "HUGGINS",
        "authorized_official_first_name": "R.",
        "authorized_official_middle_name": "CARROLL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/CEO",
        "authorized_official_telephone_number": "918-967-3325",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "01-1372703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100680370U",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100707530A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Oaks Rehabilitative Services Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McAlester, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; 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.