NPIMap

Organization Active NPI

Southeastern Oklahoma Family Services, Inc.

  • Community/Behavioral Health Agency
  • Atoka, OK
National Provider Identifier
1841618097
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SOUTHEASTERN OKLAHOMA FAMILY SERVICES, INC.
Practice address
771 W 13TH St
Atoka, OK 74525-3712
Phone
(580) 889-5555
NPI assigned
Apr 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Virginia Ragan
Title
Ceo
Phone
(580) 745-9610

Specialties & licenses 1

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

Addresses

Primary practice location

771 W 13TH St
Atoka, OK 74525-3712

Mailing address

PO Box 1710
Kingston, OK 73439-1710
Phone (580) 564-7374

Other identifiers 1

IdentifierTypeStateIssuer
100708380MedicaidOK

National Provider Directory

National Provider Directory
Tax ID family
Texoma Rural Health Center19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

Locations

771 W 13th St
Atoka, OK 74525
Phone (580) 889-5555

NPI Registry JSON

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

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1841618097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1710",
            "city": "KINGSTON",
            "state": "OK",
            "postal_code": "734391710",
            "telephone_number": "580-564-7374",
            "fax_number": "580-564-7362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 W 13TH ST",
            "city": "ATOKA",
            "state": "OK",
            "postal_code": "745253712",
            "telephone_number": "580-889-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN OKLAHOMA FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RAGAN",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "580-745-9610"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100708380",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atoka, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.