Active NPI
Victoria Aline Moses
- Case Manager/Care Coordinator
- Poteau, OK
National Provider Identifier
1700458585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 210 S Wilson St
Poteau, OK 74953-4917 - Phone
- (918) 649-0011
- Fax
- (918) 649-0066
- NPI assigned
- Jul 12, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | OK | Primary |
Addresses
Primary practice location
210 S Wilson St
Poteau, OK 74953-4917
Mailing address
PO Box 294
Talihina, OK 74571-0294
Phone (918) 413-9005
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sue@eomhc.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Oklahoma Mental Health & Counseling LLC | Current | Accepting new patients |
Locations
210 S Wilson St
Poteau, OK 74953
Phone (918) 649-0011
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Eomhc
- Community/Behavioral Health Agency
- Poteau, OK
- NPI 1245632306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626048000000",
"number": "1700458585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 294",
"city": "TALIHINA",
"state": "OK",
"postal_code": "745710294",
"telephone_number": "918-413-9005",
"fax_number": "918-649-0066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 S WILSON ST",
"city": "POTEAU",
"state": "OK",
"postal_code": "749534917",
"telephone_number": "918-649-0011",
"fax_number": "918-649-0066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSES",
"first_name": "VICTORIA",
"middle_name": "ALINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-12",
"last_updated": "2021-07-12",
"certification_date": "2021-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OK",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sue@eomhc.com",
"affiliation": "N",
"endpointDescription": "encrypted e-mail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "PDF",
"address_1": "210 S Wilson St",
"city": "Poteau",
"state": "OK",
"country_code": "US",
"postal_code": "749534917",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Poteau, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.