| Pivot, Inc. | |
|
201 Ne 50th St Oklahoma City OK 73105-1811 | |
| (405) 235-7537 | |
| (405) 528-5754 |
| Full Name | Pivot, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 201 Ne 50th St, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Jennifer Lynne Schmidt - Goodrich (CEO) |
| Authorized Official Contact | 4042357537 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pivot, Inc. 201 Ne 50th St Oklahoma City OK 73105-1811 Ph: (405) 235-7537 | Pivot, Inc. 201 Ne 50th St Oklahoma City OK 73105-1811 Ph: (405) 235-7537 |
| NPI Number | 1225165343 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 04/19/2021 |
| Certification Date | 04/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225165343 | NPI | - | NPPES |
| 100707820A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Oklahoma) | Primary |
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