Organization
CANADIAN COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOAN SOUTH LBP (FACILITY DIRECTOR)
(405) 262-0202
Entity
Organization
Contact information
Practice address
7905 EAST HIGHWAY 66, EL RENO, OK 73036
(405) 262-0202
(405) 262-0259
Mailing address
7905 EAST HIGHWAY 66, EL RENO, OK 73036
(405) 262-0202
(405) 262-0259
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
K850000246
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2000727780
—
OK
Enumeration date
04/27/2007
Last updated
06/20/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us