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MR. CLINTON LLOYD GRIMES BS
NPI 1073781589
Peer Specialist in Boley, OK

Active since February 19, 2008
369026 US HIGHWAY 62, BOLEY, OK 74829(918) 667-3367 Get Directions Write a Review

NPPES record last updated: August 26, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Clinton Lloyd Grimes Bs NPPES

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

MR. CLINTON LLOYD GRIMES BS (NPI 1073781589) is an individual peer specialist in Boley, Oklahoma and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1073781589
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMR. CLINTON LLOYD GRIMESCredential: BS
Location Address369026 US HIGHWAY 62Boley, OK 74829
Mailing AddressNbu 6907Prague, OK 74864
Phone(918) 667-3367
Sole ProprietorNo
Enumeration DateFebruary 19, 2008
Last NPPES UpdateAugust 26, 2019
✔ NPI 1073781589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
369026 US HIGHWAY 62, Boley, OK 74829
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Other Identifiers 2

Medicaid100685660AOK
Medicaid100685660DOK

Other Providers at the Same Location NPPES 5

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

JAMIE WILLIAMS
Case Manager/Care Coordinator
369026 US HIGHWAY 62
BOLEY, OK 74829
Okfuskee County (918) 667-3367
HAYDEN SCOTT HARRIS
Case Manager/Care Coordinator
369026 US HIGHWAY 62
BOLEY, OK 74829
Okfuskee County (918) 667-3367
MICHAEL SHANE WILLIAMS
Case Manager/Care Coordinator
369026 US HIGHWAY 62
BOLEY, OK 74829
Okfuskee County (918) 667-3367
JONATHAN PAUL LOONEY
Case Manager/Care Coordinator
369026 US HIGHWAY 62
BOLEY, OK 74829
Okfuskee County (918) 667-3367
TAMARA RAYCHELLE BOST
Case Manager/Care Coordinator
369026 US HIGHWAY 62
BOLEY, OK 74829
Okfuskee County (918) 667-3367

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 Clinton Grimes's NPI number?

The NPI number for Clinton Grimes is 1073781589. It was assigned to this individual provider in the NPPES registry on February 19, 2008.

Where is Clinton Grimes located?

Clinton Grimes practices at 369026 Us Highway 62, Boley, OK 74829. The listed phone number is (918) 667-3367.

What is Clinton Grimes's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Clinton Grimes was last updated on August 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.