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LIFT COMMUNITY ACTION AGENCY, INC
NPI 1427865930
Clinic/Center - Rehabilitation, Substance Use Disorder in Hugo, OK

Active since December 17, 2024
1005 S 5TH ST BLDG 4, HUGO, OK 74743(803) 263-3515 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About LIFT COMMUNITY ACTION AGENCY, INC

This page provides the complete NPI Profile along with additional information for Lift Community Action Agency, Inc, a provider established in Hugo, Oklahoma operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1427865930 assigned on December 2024. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Rebecca Porter (Executive Director)

NPI
1427865930 Verify this NPI
Provider Name
LIFT COMMUNITY ACTION AGENCY, INC
Entity Type
Organization
Location Address
1005 S 5TH ST BLDG 4 HUGO, OK 74743
Location Phone
(803) 263-3515
Mailing Address
209 N 4TH ST HUGO, OK 74743
Mailing Phone
(580) 326-3351
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-17-2024
Last Update Date
12-17-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

REBECCA PORTER

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(580) 326-3351

Reviews for LIFT COMMUNITY ACTION AGENCY, INC

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

CHRISTIE R TERRY-BALL
Peer Specialist
1005 S 5TH ST BLDG 4
HUGO, OK 74743
Choctaw County (580) 743-3272
JENNIFER WRAY WISENER
Peer Specialist
1005 S 5TH ST BLDG 4
HUGO, OK 74743
Choctaw County (580) 372-0499
JESSICA LYNN WATTS CMI
Case Manager/Care Coordinator
1005 S 5TH ST BLDG 4
HUGO, OK 74743
Choctaw County (580) 406-2816

Frequently Asked Questions

What is LIFT COMMUNITY ACTION AGENCY, INC's NPI number?

The NPI number assigned to this healthcare provider is 1427865930, enumerated as an "organization" on December 17, 2024.

Where is the provider located?

The provider is located at 1005 S 5TH ST BLDG 4 HUGO, OK 74743 and the phone number is (803) 263-3515.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.