Organization Active NPI

Red Rock Behavioral Health Services

  • Community Health Worker
  • Elk City, OK
National Provider Identifier
1982213633
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
RED ROCK BEHAVIORAL HEALTH SERVICES
Practice address
3080 W 3Rd St
Elk City, OK 73644-4323
Phone
(580) 225-5136
NPI assigned
Jul 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Authorized official

Name
Melanie GreenwayNPI 1326651068
Title
Medication Clinic Coordinator
Phone
(580) 799-4672

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
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X Primary

Addresses

Primary practice location

3080 W 3Rd St
Elk City, OK 73644-4323

Mailing address

1016 W D Ave
Elk City, OK 73644-3338

National Provider Directory

National Provider Directory

Locations

3080 W 3rd St
Elk City, OK 73644
Phone (580) 225-5136

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": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1982213633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 W D AVE",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736443338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 W 3RD ST",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736444323",
            "telephone_number": "580-225-5136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED ROCK BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "GREENWAY",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "MEDICATION CLINIC COORDINATOR",
        "authorized_official_telephone_number": "580-799-4672"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.