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JUSTIN DWAYNE ROSS
NPI 1023420098
Substance Abuse Rehabilitation Facility in Canadian, OK

Active since May 27, 2014
69 ARROWHEAD LOOP, CANADIAN, OK 74425(918) 339-5800(918) 339-5801 Get Directions Write a Review

NPPES record last updated: May 27, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Justin Dwayne Ross NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN DWAYNE ROSS (NPI 1023420098) is an individual substance abuse rehabilitation facility provider in Canadian, Oklahoma and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1023420098
Entity TypeIndividualMale
Primary Taxonomy324500000X
Provider Legal NameJUSTIN DWAYNE ROSS
Location Address69 ARROWHEAD LOOPCanadian, OK 74425-5012
Mailing Address69 Arrowhead LoopCanadian, OK 74425-5012 · (918) 339-5800 · Fax (918) 339-5801
Phone(918) 339-5800
Fax(918) 339-5801
Sole ProprietorYes
Enumeration DateMay 27, 2014
✔ NPI 1023420098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
69 ARROWHEAD LOOP, Canadian, OK 74425
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KALON JAMES TAYLOR
Substance Abuse Rehabilitation Facility
69 ARROWHEAD LOOP
CANADIAN, OK 74425
Pittsburg County (918) 339-5800
KAREN ELIZABETH SWEATT RN
Registered Nurse
69 ARROWHEAD LOOP
CANADIAN, OK 74425
Pittsburg County (918) 339-5800
MAX ALLEN JONES
Case Manager/Care Coordinator
69 ARROWHEAD LOOP
CANADIAN, OK 74425
Pittsburg County (918) 339-5800
KIMBERLY IRENE COOPER
Substance Abuse Rehabilitation Facility
69 ARROWHEAD LOOP
CANADIAN, OK 74425
Pittsburg County (918) 339-5800
AARON WALLIS
Community Health Worker
69 ARROWHEAD LOOP
CANADIAN, OK 74425
Pittsburg County (918) 339-5800
JANET T WATKINS
Substance Abuse Rehabilitation Facility
69 ARROWHEAD LOOP
CANADIAN, OK 74425
Pittsburg County (918) 424-6250
HENI AZZAM
Counselor (Addiction (Substance Use Disorder))
69 ARROWHEAD LOOP
CANADIAN, OK 74425
Pittsburg County (935) 995-1697
BRANDI TISDALE
Peer Specialist
69 ARROWHEAD LOOP
CANADIAN, OK 74425
Pittsburg County (843) 325-3063

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Ross's NPI number?

The NPI number for Justin Ross is 1023420098. It was assigned to this individual provider in the NPPES registry on May 27, 2014.

Where is Justin Ross located?

Justin Ross practices at 69 Arrowhead Loop, Canadian, OK 74425. The listed phone number is (918) 339-5800.

What is Justin Ross's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Justin Ross was last updated on May 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.