Organization Active NPI

Port Lawrence Behavioral Health Services LLC

  • Community/Behavioral Health Agency
  • Midwest City, OK
National Provider Identifier
1891293759
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PORT LAWRENCE BEHAVIORAL HEALTH SERVICES LLC
Practice address
7901 NE 10TH St
Midwest City, OK 73110-3600
Phone
(405) 326-7721
NPI assigned
Jan 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Authorized official

Name
Mr. Frank C. Calvin, LADC/MHNPI 1043649270
Title
President
Phone
(405) 326-7721

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X OK Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

7901 NE 10TH St
Midwest City, OK 73110-3600

Mailing address

8617 Honey Locust Dr
Spencer, OK 73084-2115
Phone (405) 326-7721

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1516838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1891293759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8617 HONEY LOCUST DR",
            "city": "SPENCER",
            "state": "OK",
            "postal_code": "730842115",
            "telephone_number": "405-326-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 NE 10TH ST",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731103600",
            "telephone_number": "405-326-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT LAWRENCE BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "CALVIN",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-326-7721",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LADC/MH"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.