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PROVIDENCE HOUSE
NPI 1679565709
Intermediate Care Facility, Intellectual Disabilities in Guthrie, OK

Active since August 16, 2005CLIA 37D0999333 · Waiver
405 N 20TH ST, GUTHRIE, OK 73044(405) 282-1517(405) 282-9007 Get Directions Write a Review

NPPES record last updated: September 8, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Providence House NPPES

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

PROVIDENCE HOUSE (NPI 1679565709) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Guthrie, Oklahoma and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through May 8, 2028 and lists Greg Machtolff, Manager, as its authorized official.

NPPES Registry Identity

NPI1679565709
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameWOODLAWN LP
Location Address405 N 20TH STGuthrie, OK 73044-2103
Mailing AddressPo Box 977Guthrie, OK 73044-0977 · (405) 282-2600 · Fax (405) 282-2610
Phone(405) 282-1517
Fax(405) 282-9007
Organization SubpartNo
Authorized OfficialGreg MachtolffManager · (405) 282-2600
Enumeration DateAugust 16, 2005
Last NPPES UpdateSeptember 8, 2011
✔ NPI 1679565709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in OK · NH4208
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
405 N 20TH ST, Guthrie, OK 73044
Open in Google Maps ↗

Other Names 1

Doing Business AsProvidence House

Other Identifiers 1

Medicaid100771000AOK

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D0999333

Providence House · Guthrie, OK
Active · expires May 8, 2028
CLIA Number37D0999333
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateMay 9, 2026
Certificate Expiration DateMay 8, 2028
Laboratory DirectorClara Duehning
Laboratory Phone(405) 282-1517
Laboratory LocationProvidence House405 N 20th St, Guthrie, OK 73044
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

GUTHRIE COTTAGES, LLC
Intermediate Care Facility, Intellectual Disabilities
405 N 20TH ST
GUTHRIE, OK 73044
Logan County (405) 285-8166

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 Woodlawn LP's NPI number?

The NPI number for Woodlawn LP is 1679565709. It was assigned to this organization in the NPPES registry on August 16, 2005. The provider is doing business as Providence House.

Where is Woodlawn LP located?

Woodlawn LP is located at 405 N 20th St, Guthrie, OK 73044. The listed phone number is (405) 282-1517.

What is Woodlawn LP's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does Woodlawn LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D0999333) is associated with this NPI, valid through May 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Woodlawn LP was last updated on September 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.