Organization Active NPI

Cornerstone Clinical Services

  • Case Management Agency
  • Lawton, OK
National Provider Identifier
1700109360
Registry record updated Mar 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
21612 Issued in OK
Legal business name
CORNERSTONE CLINICAL SERVICES
Practice address
807 SW F Ave
Lawton, OK 73501-4506
Phone
(580) 595-7000
Fax
(580) 595-7005
NPI assigned
Mar 10, 2010
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Darrell Smith
Title
Owner
Phone
(580) 595-7000

National Provider Directory

National Provider Directory
Tax ID family
Cornerstone Clinical Services8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

807 SW F Ave
Lawton, OK 73501
Phone (580) 357-3449

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 21612 OK Primary

Addresses

NPPES NPI Registry

Primary practice location

807 SW F Ave
Lawton, OK 73501-4506

Mailing address

807 SW F Ave
Lawton, OK 73501-4506
Phone (580) 595-7000

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
21612OtherOKOKLAHOMA DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 10, 2010.

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268179200000",
    "number": "1700109360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 SW F AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735014506",
            "telephone_number": "580-595-7000",
            "fax_number": "580-595-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 SW F AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735014506",
            "telephone_number": "580-595-7000",
            "fax_number": "580-595-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE CLINICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-10",
        "last_updated": "2010-03-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-595-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "OK",
            "license": "21612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES",
            "identifier": "21612",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.