Citizen's Advisory Committee for Pittsburg County Youth Shelter

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CITIZEN'S ADVISORY COMMITTEE FOR PITTSBURG COUNTY YOUTH SHELTER

Practice address

904 N 9TH St
McAlester, OK 74501-4212

Phone

(918) 423-8845

Fax

(918) 423-8898

NPI assigned

Jan 10, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Thomas Contreras, M.S.

Title

Executive Director

Phone

(918) 423-8845

Specialties & licenses 1

Addresses

Other names 1

• Youth Emergency Shelter Other name

Tax ID family

Citizen's Advisory Committee for Pittsburg County Youth Emergency Shel2 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.

• Citizen's Advisory Committee for Pittsburg County Youth Emergency Shel

  • Community/Behavioral Health Agency
  • Eufaula, OK
  • NPI 1629272364
  NPD tax ID

Locations

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972652584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 N 9TH ST",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745014212",
            "telephone_number": "918-423-8845",
            "fax_number": "918-423-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 N 9TH ST",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745014212",
            "telephone_number": "918-423-8845",
            "fax_number": "918-423-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITIZEN'S ADVISORY COMMITTEE FOR PITTSBURG COUNTY YOUTH SHELTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONTRERAS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "918-423-8845",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Youth Emergency Shelter",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Choctaw Nation Health Care System
• Choctaw Nation of Oklahoma (Choctaw Nation Health Clinic-McAlester)
• Choctaw Nation of Oklahoma (Choctaw Nation Health Care Clinic-Mcalester)
• Jinok Chung, DO
• Sierra Summer Cicero, SUPPORT STAFF
• City of McAlester
• Dawn Clark
• Terry Clark, BA
• Wendy Clark
• Lanae Alexandria Clayborn, LPC

• Community/Behavioral Health Agency in McAlester, OK
• Providers in McAlester, OK by specialty
• Community/Behavioral Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.