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PROJECT IMPACT OKLAHOMA LLC
NPI 1407154933
Community/Behavioral Health in Madill, OK

Active since March 08, 2011
102 N 1ST ST, MADILL, OK 73446(580) 677-9406 Get Directions Write a Review

NPPES record last updated: July 4, 2011. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Project Impact Oklahoma Llc NPPES

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

PROJECT IMPACT OKLAHOMA LLC (NPI 1407154933) is a healthcare organization registered as a community/behavioral health in Madill, Oklahoma and active in the NPI registry since March 2011. The organization lists Carol Sue Kimbro, Vice-president, as its authorized official.

NPPES Registry Identity

NPI1407154933
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePROJECT IMPACT OKLAHOMA LLC
Location Address102 N 1ST STMadill, OK 73446-2202
Mailing Address102 N 1st StMadill, OK 73446-2202 · (580) 677-9406
Phone(580) 677-9406
Organization SubpartNo
Authorized OfficialCarol Sue KimbroVice-president · (580) 677-9406
Enumeration DateMarch 8, 2011
Last NPPES UpdateJuly 4, 2011
✔ NPI 1407154933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in OK · 3839
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
102 N 1ST ST, Madill, OK 73446
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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 Project Impact Oklahoma LLC's NPI number?

The NPI number for Project Impact Oklahoma LLC is 1407154933. It was assigned to this organization in the NPPES registry on March 8, 2011.

Where is Project Impact Oklahoma LLC located?

Project Impact Oklahoma LLC is located at 102 N 1st St, Madill, OK 73446. The listed phone number is (580) 677-9406.

What is Project Impact Oklahoma LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Project Impact Oklahoma LLC was last updated on July 4, 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.