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NORTHEASTERN OKLAHOMA COUNCIL ON ALCOHOLISM, INC.
NPI 1336346279
Substance Abuse Rehabilitation Facility in Commerce, OK

Active since July 02, 2007
304 N MICKEY MANTLE BLVD, COMMERCE, OK 74339(918) 675-4100(918) 675-4615 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northeastern Oklahoma Council On Alcoholism, Inc. NPPES

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

NORTHEASTERN OKLAHOMA COUNCIL ON ALCOHOLISM, INC. (NPI 1336346279) is a healthcare organization registered as a substance abuse rehabilitation facility in Commerce, Oklahoma and active in the NPI registry since July 2007. The organization maintains 3 additional practice locations and lists Robin E Still, Interim Director, as its authorized official.

NPPES Registry Identity

NPI1336346279
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameNORTHEASTERN OKLAHOMA COUNCIL ON ALCOHOLISM, INC.
Location Address304 N MICKEY MANTLE BLVDCommerce, OK 74339-1110
Mailing AddressPo Box 1271Miami, OK 74355-1271 · (918) 675-4100 · Fax (918) 675-4615
Phone(918) 675-4100
Fax(918) 675-4615
Organization SubpartNo
Authorized OfficialRobin E StillInterim Director · (918) 675-4100
Enumeration DateJuly 2, 2007
Last NPPES UpdateMarch 17, 2018
✔ NPI 1336346279 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.
304 N MICKEY MANTLE BLVD, Commerce, OK 74339
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Secondary Practice Locations 3

Location 1120 E Illinois Ave Ste 303Vinita, OK 74301-3227 · Phone (918) 256-7171
Location 2202 S. 5thJay, OK 74346 · Phone (918) 253-6548
Location 3130 W Steve Owens BlvdMiami, OK 74354-7629 · Phone (918) 542-2845 · Fax (918) 542-2848

Other Providers at the Same Location NPPES 7

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

GREG FENT
Counselor (Addiction (Substance Use Disorder))
304 N MICKEY MANTLE BLVD
COMMERCE, OK 74339
Ottawa County (918) 675-4100
JOSEPH GOLDMAN
Peer Specialist
304 N MICKEY MANTLE BLVD
COMMERCE, OK 74339
Ottawa County (918) 253-6548
JOHNNY FROST
Peer Specialist
304 N MICKEY MANTLE BLVD
COMMERCE, OK 74339
Ottawa County (405) 679-7144
TRACY LEANN RIDER
Peer Specialist
304 N MICKEY MANTLE BLVD
COMMERCE, OK 74339
Ottawa County (918) 675-4100
LISHA LANCASTER
Counselor (Addiction (Substance Use Disorder))
304 N MICKEY MANTLE BLVD
COMMERCE, OK 74339
Ottawa County (918) 253-6548
JAMES SHULL
Peer Specialist
304 N MICKEY MANTLE BLVD
COMMERCE, OK 74339
Ottawa County (918) 253-6548
JENNIFER JEAN CALLAHAN
Peer Specialist
304 N MICKEY MANTLE BLVD
COMMERCE, OK 74339
Ottawa County (918) 675-4100

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 Northeastern Oklahoma Council On Alcoholism, Inc.'s NPI number?

The NPI number for Northeastern Oklahoma Council On Alcoholism, Inc. is 1336346279. It was assigned to this organization in the NPPES registry on July 2, 2007.

Where is Northeastern Oklahoma Council On Alcoholism, Inc. located?

Northeastern Oklahoma Council On Alcoholism, Inc. is located at 304 N Mickey Mantle Blvd, Commerce, OK 74339. The listed phone number is (918) 675-4100.

What is Northeastern Oklahoma Council On Alcoholism, Inc.'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 Northeastern Oklahoma Council On Alcoholism, Inc. was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.