STATE OF OKLAHOMA
NPI 1750456588
Clinic/Center - Medical Specialty in Woodward, OK

NPI Status: Active since November 20, 2006

Contact Information

1222 10TH STREET, SUITE 211
NORTHWEST CENTER FOR BEHAVIORAL HEALTH
WOODWARD, OK
ZIP 73801
Phone: (580) 571-3217
Fax: (580) 256-8609

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  • Organization
  • Clinic/Center
  • Medical Specialty
  • Accepts Insurance

About STATE OF OKLAHOMA

This page provides the complete NPI Profile along with additional information for State Of Oklahoma, a provider established in Woodward, Oklahoma operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1750456588 assigned on November 2006. The practitioner's primary taxonomy code is 261QM2500X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Autumn Nickelson Ladc/lcsw (Executive Director)

NPI
1750456588
Provider Name
STATE OF OKLAHOMA
Entity Type
Organization
Location Address
1222 10TH STREET, SUITE 211 NORTHWEST CENTER FOR BEHAVIORAL HEALTH WOODWARD, OK 73801
Location Phone
(580) 571-3217
Location Fax
(580) 256-8609
Mailing Address
1222 10TH STREET, SUITE 211 NORTHWEST CENTER FOR BEHAVIORAL HEALTH WOODWARD, OK 73801
Mailing Phone
(580) 571-3217
Mailing Fax
(580) 256-8609
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-20-2006
Last Update Date
03-24-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251S00000XAgencies

Community/Behavioral Health

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Complete Silver (QualChoice) - POS
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold - PPO
  • Elite Gold + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Everyday Gold - PPO
  • Everyday Gold + Vision + Adult Dental - PPO
  • Focused Silver - PPO
  • Focused Silver + Vision + Adult Dental - PPO
  • Blue Advantage Bronze PPO? 202 - PPO
  • Blue Advantage Bronze PPO? 203 - PPO
  • Blue Advantage Bronze PPO? Standard - PPO
  • Blue Advantage Gold PPO? 309 - PPO
  • Blue Advantage Gold PPO? 604 - PPO
  • Blue Advantage Gold PPO? Standard - PPO
  • Blue Advantage Silver PPO? 204 - PPO
  • Blue Advantage Silver PPO? 501 - PPO
  • Blue Advantage Silver PPO? Standard - PPO
  • Blue Preferred Bronze PPO? Standard - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

AUTUMN NICKELSON LADC/LCSW

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(580) 571-3231

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
100707390AMEDICAID (05)OK 

Reviews for STATE OF OKLAHOMA

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750456588
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271008512516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 8 + 5 + 1 + 2 + 5 + 1 + 6 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1750456588 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093989246 TERESA A PORTER LPN
Individual
Licensed Practical Nurse1222 10TH STREET, SUITE 211 NORTHWEST CENTER FOR BEHAVIORAL HEALTH
WOODWARD, OK 73801
(580) 256-8615
1619142767 AUTUMN NICKELSON
Individual
Social Worker (Clinical)1222 10TH STREET, SUITE 211 NORTHWEST CENTER FOR BEHAVIORAL HEALTH
WOODWARD, OK 73801
(580) 571-3231

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750456588, enumerated in the NPI registry as an "organization" on November 20, 2006

The provider is located at 1222 10th Street, Suite 211 Northwest Center For Behavioral Health Woodward, Ok 73801 and the phone number is (580) 571-3217

This medical organization specializes in Clinic/Center with taxonomy code 261QM2500X with a focus in Medical Specialty

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 20, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.