Active NPI
Amber Renee Ford
- Case Manager/Care Coordinator
- Ardmore, OK
National Provider Identifier
1912620709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 2502 Crossroads Dr Ste a
Ardmore, OK 73401-2503 - Phone
- (580) 226-5209
- NPI assigned
- Sep 26, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
2502 Crossroads Dr Ste a
Ardmore, OK 73401-2503
Mailing address
PO Box 1710
Kingston, OK 73439-1710
Phone (580) 564-7374
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ardmore@treatmentservices.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Oklahoma Treatment Services, Inc. | Current | Accepting new patients |
Locations
2502 Crossroads Dr
Ste A
Ardmore, OK 73401
Phone (580) 226-5209
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Ardmore, OK
- NPI 1952949349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664150400000",
"number": "1912620709",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2502 CROSSROADS DR STE A",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734012503",
"telephone_number": "580-226-5209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "AMBER",
"middle_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-26",
"last_updated": "2022-09-26",
"certification_date": "2022-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ardmore@treatmentservices.org",
"affiliation": "N",
"address_1": "2502 Crossroads Dr Ste A",
"city": "Ardmore",
"state": "OK",
"country_code": "US",
"postal_code": "734012503",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ardmore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.