1922171701 STATE OF OKLAHOMA
Psychiatric Hospital
Active
Basic Information
- Organization Name
- STATE OF OKLAHOMA
- Enumeration Date
- November 17, 2006
- Last Update
- December 11, 2023
- Authorized Official
- AUTUMN NICKELSON LADC/LCSW
EXECUTIVE DIRECTOR
Phone: (580) 571-3231
Practice Location
- Address
- 193461 E CT RD 304
FORT SUPPLY, OK 738410001 - Phone
- (580) 766-2311
- Fax
- (580) 766-2017
Mailing Address
- Address
- 193461 E CT RD 304
FORT SUPPLY, OK 738410001 - Phone
- (580) 766-2311
- Fax
- (580) 766-2017
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | Psychiatric Hospital | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100704080B | 05 | OK | N/A |
| 100704080A | 05 | OK | N/A |
Frequently Asked Questions
What is STATE OF OKLAHOMA's NPI number?
STATE OF OKLAHOMA's NPI number is 1922171701.
Which doctor has NPI number 1922171701?
The doctor with NPI number 1922171701 is STATE OF OKLAHOMA.
What is STATE OF OKLAHOMA's practice address?
STATE OF OKLAHOMA's practice address is 193461 E CT RD 304, FORT SUPPLY, OK, 738410001.
Which doctor practices at 193461 E CT RD 304, FORT SUPPLY, OK, 738410001?
STATE OF OKLAHOMA practices at 193461 E CT RD 304, FORT SUPPLY, OK, 738410001.
What is STATE OF OKLAHOMA's phone number?
STATE OF OKLAHOMA's phone number is (580) 766-2311.
Who is (580) 766-2311?
(580) 766-2311 is the phone number for STATE OF OKLAHOMA.
What is STATE OF OKLAHOMA's specialty?
STATE OF OKLAHOMA's specialty is Psychiatric Hospital.
What type of doctor is STATE OF OKLAHOMA?
STATE OF OKLAHOMA is a Psychiatric Hospital.
Is STATE OF OKLAHOMA a Psychiatric Hospital?
Yes, STATE OF OKLAHOMA is a Psychiatric Hospital.
Is STATE OF OKLAHOMA still practicing?
Yes, STATE OF OKLAHOMA is currently practicing.
Is STATE OF OKLAHOMA accepting new patients?
STATE OF OKLAHOMA may be accepting new patients. Please call their office at (580) 766-2311 to inquire about availability.
Is NPI 1922171701 still active?
Yes, NPI 1922171701 is currently active.
Where does STATE OF OKLAHOMA practice?
STATE OF OKLAHOMA practices in FORT SUPPLY, OK.