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Meadow Brook Outpatient Treatment Center

Organization Active NPI Community/Behavioral Health Agency · Howe, OK

NPI 1699899765 · NPPES record last updated Jun 29, 2009

Key facts

NPI
1699899765
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
MEADOW BROOK OUTPATIENT TREATMENT CENTER
Practice address
800 Meadow Lane
Howe, OK 74940-0000
Phone
(918) 658-2189
Fax
(918) 658-2180
NPI assigned
Mar 16, 2007
Organization subpart
No

Authorized official

Name
Mr. Bobby D. Cox
Title
Owner
Phone
(918) 658-2509

Corporate family (same tax ID) 1

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

Practitioners 3

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

National Provider Directory

Tax ID family
Meadow Brook Outpatient Treatment Center (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

800 Meadow Lane
Howe, OK 74940-0000

Mailing address

800 Meadow Lane
Howe, OK 74940-0000
Phone (918) 658-2189

Other identifiers

IdentifierTypeStateIssuer
100708350BMedicaidOK

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 29, 2009.

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246233600000",
    "number": "1699899765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MEADOW LANE",
            "city": "HOWE",
            "state": "OK",
            "postal_code": "749400000",
            "telephone_number": "918-658-2189",
            "fax_number": "918-658-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MEADOW LANE",
            "city": "HOWE",
            "state": "OK",
            "postal_code": "749400000",
            "telephone_number": "918-658-2189",
            "fax_number": "918-658-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOW BROOK OUTPATIENT TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2009-06-29",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-658-2509",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100708350B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Howe, OK

All providers in Howe, OK · Community/Behavioral Health Agency in Oklahoma

Sources for this page

Verify at the official NPI Registry.