NPIMap

Organization Active NPI

Goodwill Industries of Tulsa Inc

  • Rehabilitation Clinic/Center
  • Tulsa, OK
National Provider Identifier
1861568859
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
GOODWILL INDUSTRIES OF TULSA INC
Practice address
2800 Southwest Blvd
Tulsa, OK 74107-3817
Phone
(918) 584-7291
NPI assigned
Nov 28, 2006
Reactivated
May 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2008

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

Authorized official

Name
Mr. David E Oliver
Title
President
Phone
(918) 584-7291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

2800 Southwest Blvd
Tulsa, OK 74107-3817

Mailing address

PO Box 9811
Tulsa, OK 74157-0811
Phone (918) 584-7291

Other identifiers 1

IdentifierTypeStateIssuer
100802990GOtherOKOKLAHOMA PROVIDER ID

National Provider Directory

National Provider Directory
Tax ID family
Goodwill Industries of Tulsa Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

2800 Southwest Blvd
Tulsa, OK 74107
Phone (918) 584-7291

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1861568859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9811",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741570811",
            "telephone_number": "918-584-7291",
            "fax_number": "918-583-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 SOUTHWEST BLVD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741073817",
            "telephone_number": "918-584-7291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL INDUSTRIES OF TULSA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2008-05-23",
        "deactivation_date": "2007-07-27",
        "reactivation_date": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-584-7291",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA PROVIDER ID",
            "identifier": "100802990G",
            "state": "OK"
        }
    ],
    "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 May 23, 2008; 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.