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1600 N D St Mcalester OK 74501-2314 | |
| (918) 426-1614 | |
| (918) 426-1648 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1600 N D St, Mcalester, Oklahoma |
| Authorized Official Name and Position | Milton Evans (C.E.O.) |
| Authorized Official Contact | 5803713672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 1710 Kingston OK 73439-1710 Ph: (580) 371-3672 | 1600 N D St Mcalester OK 74501-2314 Ph: (918) 426-1614 |
| NPI Number | 1629133863 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 11/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629133863 | NPI | - | NPPES |
| 200049040 S | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Center 4 Change Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 S Main St, Mcalester, OK 74501 Phone: 918-423-5204 | |
Carl Albert Community Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 E Monroe Ave, Mcalester, OK 74501 Phone: 918-426-7800 Fax: 918-426-6760 | |
Southeastern Oklahoma Social Services Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 512 E Chickasaw Ave, Mcalester, OK 74501 Phone: 918-302-0389 Fax: 918-302-3809 |