JACKIE FIELDS FOUNDATION
NPI 1578865317
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Muskogee, OK
About Jackie Fields Foundation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKIE FIELDS FOUNDATION (NPI 1578865317) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Muskogee, Oklahoma and active in the NPI registry since November 2010. The organization lists Jackie Devorah Stanford, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 Jackie Fields Foundation's NPI number?
The NPI number for Jackie Fields Foundation is 1578865317. It was assigned to this organization in the NPPES registry on November 30, 2010.
Where is Jackie Fields Foundation located?
Jackie Fields Foundation is located at 2303 Pickens, Muskogee, OK 74402. The listed phone number is (918) 913-6017.
What is Jackie Fields Foundation's specialty?
The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
When was this NPI record last updated?
The NPPES record for Jackie Fields Foundation was last updated on November 30, 2010. 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.
# Jackie Fields Foundation · NPI 1578865317
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities organization in Muskogee, Oklahoma. Organization record, active in the CMS NPPES registry since November 30, 2010.
## Identity
- **NPI:** 1578865317 (Entity type: Organization)
- **Enumerated:** November 30, 2010
- **Primary specialty:** Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · taxonomy 320900000X
- **Organization subpart:** No
- **Authorized official:** Jackie Stanford, CEO
## Practice location
- **Address:** 2303 PICKENS, Muskogee, OK 74402
- **Phone:** (918) 913-6017
## Record status
- **NPPES last updated:** November 30, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1578865317) · Data from the CMS NPPES public registry.