Kiamichi Youth Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

261QM0801X Issued in OK

Legal business name

KIAMICHI YOUTH SERVICES

Practice address

4 SE a Ave
Idabel, OK 74745-4620

Phone

(580) 286-6671

NPI assigned

Mar 20, 2007

Last updated

Aug 22, 2020By 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

Ms. Deborah D. Lawson

Title

Administrative Assistant

Phone

(580) 286-6671

Specialties & licenses 1

Addresses

Other names 1

• Kiamichi Youth Service, Inc. Other name

Tax ID family

Kiamchi Youth Services 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.

• Kiamchi Youth Services Inc

  • Community/Behavioral Health Agency
  • Idabel, OK
  • NPI 1861704652
  NPD tax ID

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669597647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SE A AVE",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747454620",
            "telephone_number": "580-286-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SE A AVE",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747454620",
            "telephone_number": "580-286-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIAMICHI YOUTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAWSON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "580-286-6671",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "261QM0801X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kiamichi Youth Service, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kiamchi Youth Services Inc
• Kiamichi Council on Alcohoism and Other Drug Abuse Inc.
• Kiamichi Council on Alcoholism and Or Other Drug Abuse, Inc. (Kiamichi Council)
• Kiamichi Family Medical Center Inc.
• Kiamichi Family Medical Center Inc.
• Kristen Clouse DNP, Pmhnp-BC, LLC
• Denise K Kuykendall, CM
• Song Y Lavalais, PHARMD
• Courtney Marie Lebrun
• Jeannie Matteya Leforce

• Community/Behavioral Health Agency in Idabel, OK
• Providers in Idabel, OK by specialty
• Community/Behavioral Health Agency in Oklahoma

• 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.