NPIMap

Organization Active NPI

Premier Community Services

  • Developmentally Disabled Services Day Training Agency
  • Tulsa, OK
National Provider Identifier
1740495571
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
PREMIER COMMUNITY SERVICES
Practice address
4530 S Sheridan Rd
Suite 103
Tulsa, OK 74145-1141
Phone
(918) 627-2668
NPI assigned
May 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Tracy G Whyburn
Title
Business Manager
Phone
(918) 627-2668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X OK Primary

Addresses

Primary practice location

4530 S Sheridan Rd
Suite 103
Tulsa, OK 74145-1141

Mailing address

4530 S Sheridan Rd
Suite 103
Tulsa, OK 74145-1141
Phone (918) 627-2668

National Provider Directory

National Provider Directory
Tax ID family
Premier Community Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740495571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 S SHERIDAN RD",
            "address_2": "SUITE 103",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741451141",
            "telephone_number": "918-627-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 S SHERIDAN RD",
            "address_2": "SUITE 103",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741451141",
            "telephone_number": "918-627-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHYBURN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "918-627-2668",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.