Leflore County Youth Services, Inc.

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

NPI 1700907730 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1700907730
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
LEFLORE COUNTY YOUTH SERVICES, INC.
Practice address
320 Dewey Ave
Poteau, OK 74953-4212
Phone
(918) 647-4196
Fax
(918) 647-5741
NPI assigned
Apr 3, 2007
Organization subpart
No

Authorized official

Name
Mrs. Jenni Jo Maggard
Title
Administrative Assistant
Phone
(918) 647-4196

Practitioners 9

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

National Provider Directory

Specialties & licenses

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

Addresses

Primary practice location

320 Dewey Ave
Poteau, OK 74953-4212

Mailing address

PO Box 711
Poteau, OK 74953-0711
Phone (918) 647-4196

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700907730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 711",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749530711",
            "telephone_number": "918-647-4196",
            "fax_number": "918-647-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 DEWEY AVE",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749534212",
            "telephone_number": "918-647-4196",
            "fax_number": "918-647-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEFLORE COUNTY YOUTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAGGARD",
        "authorized_official_first_name": "JENNI",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "918-647-4196",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poteau, OK

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

Sources for this page

Verify at the official NPI Registry.