NPIMap

Organization Active NPI

Southern Oklahoma Treatment Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tishomingo, OK
National Provider Identifier
1730258526
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SOUTHERN OKLAHOMA TREATMENT SERVICES, INC.
Practice address
106 North Burris Street
Tishomingo, OK 73460
Phone
(580) 371-3672
Fax
(580) 371-3651
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2009

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

Authorized official

Name
Milton Evans
Title
Ceo
Phone
(580) 371-3672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

106 North Burris Street
Tishomingo, OK 73460

Mailing address

512 E 24TH St
Tishomingo, OK 73460-3214
Phone (580) 371-3672

Other identifiers 1

IdentifierTypeStateIssuer
200049040 HMedicaidOK

National Provider Directory

National Provider Directory
Tax ID family
Southern Oklahoma Treatment Services Inc37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257379200000",
    "number": "1730258526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 E 24TH ST",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734603214",
            "telephone_number": "580-371-3672",
            "fax_number": "580-371-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 NORTH BURRIS STREET",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "73460",
            "telephone_number": "580-371-3672",
            "fax_number": "580-371-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OKLAHOMA TREATMENT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2009-11-05",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "MILTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "580-371-3672"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200049040 H",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tishomingo, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; 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.