Social Services Foundation of Southern Oklahoma, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SOCIAL SERVICES FOUNDATION OF SOUTHERN OKLAHOMA, INC.

Practice address

1710 N Broadway Ave Ste 2
Ada, OK 74820-1406

Phone

(580) 332-1095

Fax

(580) 332-1074

NPI assigned

Sep 29, 2006

Last updated

Aug 22, 2020By 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

Mrs. Patricia Ann Peay

Title

Project Director

Phone

(580) 332-1095

Specialties & licenses 1

Addresses

Tax ID family

Social Services Foundation of Southern Oklahoma Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Social Services Foundation of Southern Oklahoma, Inc.

  dba Southern Oklahoma Lifeline

  • Durable Medical Equipment & Medical Supplies
  • Ada, OK
  • NPI 1205993235
  NPD tax ID

Locations

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760574453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 N BROADWAY AVE STE 2",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748201406",
            "telephone_number": "580-332-1095",
            "fax_number": "580-332-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 N BROADWAY AVE STE 2",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748201406",
            "telephone_number": "580-332-1095",
            "fax_number": "580-332-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL SERVICES FOUNDATION OF SOUTHERN OKLAHOMA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEAY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PROJECT DIRECTOR",
        "authorized_official_telephone_number": "580-332-1095",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsey Lynn Smothers, APRN-CNP
• Lilly Erin Snider
• Sherry L. Snider
• Christie Snow, M.D.
• Social Services Foundation of Southern Oklahoma, Inc. (Southern Oklahoma Lifeline)
• Ronda Sockey
• Jorge Luis Solorzano, O.D.
• Laura K Soper, P.A.
• South Central Oklahoma Radiology PLLC
• Southeast Oklahoma Oral & Maxillofacial Surgery, PC

• Durable Medical Equipment & Medical Supplies in Ada, OK
• Providers in Ada, OK by specialty
• Durable Medical Equipment & Medical Supplies in Oklahoma

• 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.