STATE OF OKLAHOMA; DBA:BILL WILLIS COMMUNITY MENTAL HEALTH CENTER
NPI 1508987959
Clinic/Center - Mental Health (Including Community Mental Health Center) in Tahlequah, OK

Active since April 03, 2007
1400 S. HENSLEY DR, TAHLEQUAH, OK 74465(918) 207-3049(918) 207-3065 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About State Of Oklahoma; Dba:bill Willis Community Mental Health Center NPPES

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

STATE OF OKLAHOMA; DBA:BILL WILLIS COMMUNITY MENTAL HEALTH CENTER (NPI 1508987959) is a healthcare organization registered as a mental health (including community mental health center) in Tahlequah, Oklahoma and active in the NPI registry since April 2007. The organization lists Walter Michael Kinney, Director Of Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1508987959
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameSTATE OF OKLAHOMA; DBA:BILL WILLIS COMMUNITY MENTAL HEALTH CENTER
Location Address1400 S. HENSLEY DRTahlequah, OK 74465-0558
Mailing Address1400 S. Hensley Dr, P.o. Box 558Tahlequah, OK 74465-0558 · (918) 207-3049 · Fax (918) 207-3065
Fax(918) 207-3065
Organization SubpartNo
Authorized OfficialWalter Michael KinneyDirector Of Pharmacy · (918) 207-3049
Enumeration DateApril 3, 2007
Last NPPES UpdateMarch 7, 2023
NPI 1508987959 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
License Licensed in OK · 36-4537
1400 S. HENSLEY DR, Tahlequah, OK 74465

Other Identifiers 2

Other29393OK · State Bndd Control Number
Other364537OK · State Board Of Pharmacy L

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 State Of Oklahoma; Dba:bill Willis Community Mental Health Center's NPI number?

The NPI number for State Of Oklahoma; Dba:bill Willis Community Mental Health Center is 1508987959. It was assigned to this organization in the NPPES registry on April 3, 2007.

Where is State Of Oklahoma; Dba:bill Willis Community Mental Health Center located?

State Of Oklahoma; Dba:bill Willis Community Mental Health Center is located at 1400 S. Hensley Dr, Tahlequah, OK 74465. The listed phone number is (918) 207-3049.

What is State Of Oklahoma; Dba:bill Willis Community Mental Health Center'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 State Of Oklahoma; Dba:bill Willis Community Mental Health Center was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.