institution
State Of Oklahoma
Psychiatric Hospital in Fort Supply, Oklahoma
NPI 1922171701

State Of Oklahoma is a Psychiatric Hospital based in Fort Supply, OK. State Of Oklahoma practices in Fort Supply, OK. The NPI Number for State Of Oklahoma is 1922171701 and holds a License No. (Oklahoma).

The current practice location address for State Of Oklahoma is 193461 E Ct Rd 304, Fort Supply, OK and can be reached out via phone at 580-766-2311 and via fax at 580-766-2017.

Location: 193461 E Ct Rd 304, Fort Supply, OK, 73841-0001
institution
Provider Profile Details
NPI Number
1922171701
Provider Name
State Of Oklahoma
Credential
Provider Entity Type
Organization
Address
193461 E Ct Rd 304, Fort Supply, OK, 73841-0001
Phone Number
580-766-2311
Fax Number
580-766-2017
Provider Enumeration Date
11/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100704080B 05 OK
100704080A 05 OK
institution
Provider Business Practice Location Address Details
Address
193461 E Ct Rd 304
City
State
Zip
73841-0001
Phone Number
580-766-2311
Fax Number
580-766-2017
person
Provider Business Mailing Address Details
Address
193461 E Ct Rd 304
City
State
Zip
73841-0001
Phone Number
580-766-2311
Fax Number
580-766-2017
person
Provider's Taxonomy Details 1
Type
Hospitals
Classification
Psychiatric Hospital
Speciality
-
Taxonomy
License No.
()
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
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