Active NPI
City of Mangum
Doing business as New Hope of Mangum
- Substance Abuse Rehabilitation Facility
- Mangum, OK
National Provider Identifier
1932236205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 010
- Legal business name
- CITY OF MANGUM
- Doing business as
- New Hope of Mangum
- Practice address
- 2 Wickersham St
201 N. Oklahoma
Mangum, OK 73554-9117 - Phone
- (580) 782-3337
- Fax
- (580) 782-3338
- NPI assigned
- Feb 27, 2007
- Last updated
- Jul 9, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Louise B. Price
- Title
- Executive Director
- Phone
- (580) 782-3337
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 010 | OK | Primary |
Addresses
Primary practice location
2 Wickersham St
201 N. Oklahoma
Mangum, OK 73554-9117
Mailing address
2 Wickersham St
Mangum, OK 73554-9117
Phone (580) 782-3337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100700910A | Medicaid | OK |
Other names 1
- New Hope of Mangum
National Provider Directory
National Provider Directory- Tax ID family
- City of Mangum
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Altus, OK
- NPI 1356622237
Locations
2 Wickersham St
Mangum, OK 73554
Phone (580) 782-3337
2 Wickersham St
#201N
Mangum, OK 73554
Phone (580) 782-3337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215561600000",
"number": "1932236205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 WICKERSHAM ST",
"city": "MANGUM",
"state": "OK",
"postal_code": "735549117",
"telephone_number": "580-782-3337",
"fax_number": "580-782-3338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 WICKERSHAM ST",
"address_2": "201 N. OKLAHOMA",
"city": "MANGUM",
"state": "OK",
"postal_code": "735549117",
"telephone_number": "580-782-3337",
"fax_number": "580-782-3338"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF MANGUM",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-27",
"last_updated": "2008-07-09",
"status": "A",
"authorized_official_last_name": "PRICE",
"authorized_official_first_name": "LOUISE",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "580-782-3337",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "OK",
"license": "010",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100700910A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "New Hope of Mangum",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mangum, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.