| Hope Community Services, Inc. | |
|
4720 S Shields Blvd Oklahoma City OK 73129-3210 | |
| (405) 632-1900 | |
| (405) 632-1976 |
| Full Name | Hope Community Services, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4720 S Shields Blvd, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Stand W. Laboon (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4056321900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Community Services, Inc. 4720 S Shields Blvd Oklahoma City OK 73129-3210 Ph: (405) 632-1900 | Hope Community Services, Inc. 4720 S Shields Blvd Oklahoma City OK 73129-3210 Ph: (405) 632-1900 |
| NPI Number | 1386775039 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 12/04/2008 |
| Medicare PECOS PAC ID | 6507855517 |
|---|---|
| Medicare Enrollment ID | O20040506000879 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386775039 | NPI | - | NPPES |
| 100734350A | Medicaid | OK | |
| 557 | Other | OK | ODMHSAS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Gabriel M Cuka |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306879671 PECOS PAC ID: 2769437631 Enrollment ID: I20061114000570 |
| Provider Name | Angela C Houston |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427147743 PECOS PAC ID: 7012009772 Enrollment ID: I20070825000103 |
| Provider Name | Cheryl E Hooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427140573 PECOS PAC ID: 8527147693 Enrollment ID: I20080501000193 |
| Provider Name | Patrick H Horn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841450855 PECOS PAC ID: 1658515705 Enrollment ID: I20130911000839 |
| Provider Name | Sean M Whelan |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1790981827 PECOS PAC ID: 7012134406 Enrollment ID: I20140807002277 |
| Provider Name | Ruth E Barrett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174809628 PECOS PAC ID: 2163740713 Enrollment ID: I20150413000449 |
| Provider Name | Chana Davi Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497847610 PECOS PAC ID: 1456750710 Enrollment ID: I20210604001135 |
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