Organization Active NPI

Ada Area Chemical Dependency Center, Inc

  • Public Health or Welfare Agency
  • Ada, OK
National Provider Identifier
1700104924
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
ADA AREA CHEMICAL DEPENDENCY CENTER, INC
Practice address
704 N Oak Ave
Room 20
Ada, OK 74820-3267
Phone
(580) 332-3001
Fax
(580) 332-3652
NPI assigned
May 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Authorized official

Name
Mr. Karl Eric Lee, MSNPI 1952629628
Title
Counselor
Phone
(580) 332-3001

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X OK Primary

Addresses

Primary practice location

704 N Oak Ave
Room 20
Ada, OK 74820-3267

Mailing address

704 N Oak Ave
Room 20
Ada, OK 74820-3267
Phone (580) 332-3001

Other names 1

  • AACDC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Aacdc3 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

530 W 5th St
Ste 20
Ada, OK 74820
Phone (580) 332-3001

Practitioners & affiliated clinicians

Practitioners 7

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": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1700104924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 N OAK AVE",
            "address_2": "ROOM 20",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748203267",
            "telephone_number": "580-332-3001",
            "fax_number": "580-332-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 N OAK AVE",
            "address_2": "ROOM 20",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748203267",
            "telephone_number": "580-332-3001",
            "fax_number": "580-332-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADA AREA CHEMICAL DEPENDENCY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-12",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "580-332-3001",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AACDC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ada, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.