| Modoc Nation Behavioral Health | |
|
21 N Eight Tribes Trl Ste B Miami OK 74354-1010 | |
| (918) 387-8720 | |
| (918) 238-4225 |
| Full Name | Modoc Nation Behavioral Health |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 21 N Eight Tribes Trl Ste B, Miami, Oklahoma |
| Authorized Official Name and Position | Teresa Armstrong (BILLING MANAGER) |
| Authorized Official Contact | 9185337903 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modoc Nation Behavioral Health 22 N Eight Tribes Trl Miami OK 74354-1011 Ph: (918) 387-8720 | Modoc Nation Behavioral Health 21 N Eight Tribes Trl Ste B Miami OK 74354-1010 Ph: (918) 387-8720 |
| NPI Number | 1821636358 |
|---|---|
| Provider Enumeration Date | 12/16/2019 |
| Last Update Date | 06/07/2023 |
| Certification Date | 05/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821636358 | NPI | - | NPPES |
| SKOK0 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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