Osage Nation PRT

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

109 Issued in OK

Legal business name

OSAGE NATION PRT

Practice address

1011 Grandview Ave
Pawhuska, OK 74056-3023

Phone

(918) 287-5420

Fax

(918) 287-3721

NPI assigned

Jun 22, 2012

Last updated

Jun 22, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Louis Gray I, NA

Title

Coordinator

Phone

(918) 287-5420

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sammy Clarence Lookout

  • Substance Abuse Rehabilitation Facility
  • Pawhuska, OK
  • NPI 1932457843
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340323200000",
    "number": "1710240825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 HARVARD DR",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740068838",
            "telephone_number": "918-287-5420",
            "fax_number": "918-287-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 GRANDVIEW AVE",
            "city": "PAWHUSKA",
            "state": "OK",
            "postal_code": "740563023",
            "telephone_number": "918-287-5420",
            "fax_number": "918-287-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSAGE NATION PRT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-22",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "COORDINATOR",
        "authorized_official_telephone_number": "918-287-5420",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "NA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "OK",
            "license": "109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Mullins
• Osage Home Health
• Osage Nation (Osage Nation Counseling Center)
• Osage Nation Enterprises, Inc. (Osage Home Health)
• Osage Nation Osage Nation Counseling Center (Oncc)
• Osage Nation Si-Si a-Pe-Txa (Wah-Zha-Zhe Health Center)
• Osage Nation Si-Si a-Pe-Txa (Wah-Zha-Zhi Health Center)
• Osage Nation Si-Si a-Pe-Txa (Wah-Zha-Zhe Health Center)
• Jim L Parker
• Victoria Parker, LCSW

• Substance Abuse Rehabilitation Facility in Pawhuska, OK
• Providers in Pawhuska, OK by specialty
• Substance Abuse Rehabilitation Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; 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.