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PROVIDENCE SERVICE CORP
NPI 1164721056
Clinic/Center - Mental Health (Including Community Mental Health Center) in Hugo, OK

Active since March 18, 2011
117 E MAIN ST, HUGO, OK 74743(580) 326-7477(580) 326-6400 Get Directions Write a Review

NPPES record last updated: March 18, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Providence Service Corp NPPES

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

PROVIDENCE SERVICE CORP (NPI 1164721056) is a healthcare organization registered as a mental health (including community mental health center) in Hugo, Oklahoma and active in the NPI registry since March 2011. The organization lists Tara A Myers, Rehab Specialist, as its authorized official.

NPPES Registry Identity

NPI1164721056
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NamePROVIDENCE SERVICE CORP
Location Address117 E MAIN STHugo, OK 74743-6237
Mailing Address117 E Main StHugo, OK 74743-6237 · (580) 326-7477 · Fax (580) 326-6400
Phone(580) 326-7477
Fax(580) 326-6400
Organization SubpartNo
Authorized OfficialTara A MyersRehab Specialist · (580) 326-7477
Enumeration DateMarch 18, 2011
✔ NPI 1164721056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
117 E MAIN ST, Hugo, OK 74743
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Other Identifiers 1

Medicaid100750190OK

Other Providers at the Same Location NPPES 15

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

MR. DON G. LOMAN M.S.
Counselor (Mental Health)
117 E MAIN ST
HUGO, OK 74743
Choctaw County (580) 326-7477
JERRI S GRIFFIN BA, PSRS
Counselor
117 E MAIN ST
HUGO, OK 74743
Choctaw County (580) 326-7477
PROVIDENCE SERVICE CORPORATION OF OKLAHOMA
Case Management
117 E MAIN ST
HUGO, OK 74743
Choctaw County (580) 326-7477
PROVIDENCE SERVICE CORPORATION OF OKLAHOMA
Clinic/Center (Mental Health (Including Community Mental Health Center))
117 E MAIN ST
HUGO, OK 74743
Choctaw County (580) 326-7477
TONY LEN WOMACK BHRS
Counselor (Mental Health)
117 E MAIN ST
HUGO, OK 74743
Choctaw County (580) 326-7477
MRS. ALICIA LOMAN MS
Counselor (Mental Health)
117 E MAIN ST
HUGO, OK 74743
Choctaw County (580) 326-7477
JENNIFER GRACE BRENTS LPC
Counselor (Mental Health)
117 E MAIN ST
HUGO, OK 74743
Choctaw County (580) 326-7477
TARA A MYERS PSRS
Counselor
117 E MAIN ST
HUGO, OK 74743
Choctaw County (580) 326-7477

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 Providence Service Corp's NPI number?

The NPI number for Providence Service Corp is 1164721056. It was assigned to this organization in the NPPES registry on March 18, 2011.

Where is Providence Service Corp located?

Providence Service Corp is located at 117 E Main St, Hugo, OK 74743. The listed phone number is (580) 326-7477.

What is Providence Service Corp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Providence Service Corp was last updated on March 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.