NPIMap

Organization Active NPI

Sequoyah Residential Mental Health Facility, Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Sallisaw, OK
National Provider Identifier
1881921898
Registry record updated Nov 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
RC6801-6801 Issued in OK
Legal business name
SEQUOYAH RESIDENTIAL MENTAL HEALTH FACILITY, INC
Practice address
103 N Wheeler Ave
Sallisaw, OK 74955-4617
Phone
(918) 775-7751
Fax
(918) 775-7932
NPI assigned
Nov 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2009

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

Authorized official

Name
Mrs. Sherry Rouse, R.NNPI 1194047167
Title
Administrator
Phone
(918) 775-7751

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X RC6801-6801 OK Primary

Addresses

Primary practice location

103 N Wheeler Ave
Sallisaw, OK 74955-4617

Mailing address

103 N Wheeler Ave
Sallisaw, OK 74955-4617
Phone (918) 775-7751

National Provider Directory

National Provider Directory

Locations

103 N Wheeler Ave
Sallisaw, OK 74955
Phone (918) 775-7751

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257897600000",
    "number": "1881921898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N WHEELER AVE",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749554617",
            "telephone_number": "918-775-7751",
            "fax_number": "918-775-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N WHEELER AVE",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749554617",
            "telephone_number": "918-775-7751",
            "fax_number": "918-775-7932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUOYAH RESIDENTIAL MENTAL HEALTH FACILITY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-11",
        "last_updated": "2009-11-11",
        "status": "A",
        "authorized_official_last_name": "ROUSE",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "918-775-7751",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "OK",
            "license": "RC6801-6801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sallisaw, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; 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.