NPIMap

Organization Active NPI

Kiamchi Youth Services Inc

  • Community/Behavioral Health Agency
  • Idabel, OK
National Provider Identifier
1861704652
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KIAMCHI YOUTH SERVICES INC
Practice address
116 SE Ave N
Idabel, OK 74745-5234
Phone
(580) 286-6671
Fax
(580) 286-5747
NPI assigned
Jul 8, 2010
Last updated
Jul 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Authorized official

Name
Mrs. Pamela Ranae Griffin-Rambo, BS M.ED
Title
Executive Director
Phone
(580) 286-6671

Specialties & licenses 1

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

Addresses

Primary practice location

116 SE Ave N
Idabel, OK 74745-5234

Mailing address

1804 Colorado St
Idabel, OK 74745-7909
Phone (580) 286-6671

Other names 1

  • KYS Other name

National Provider Directory

National Provider Directory
Tax ID family
Kiamchi Youth Services 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.

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1861704652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 COLORADO ST",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747457909",
            "telephone_number": "580-286-6671",
            "fax_number": "580-286-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 SE AVE N",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747455234",
            "telephone_number": "580-286-6671",
            "fax_number": "580-286-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIAMCHI YOUTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-08",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN-RAMBO",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "RANAE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "580-286-6671",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BS M.ED"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KYS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Idabel, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.