STATE OF OKLAHOMA
NPI 1750456588
Clinic/Center - Medical Specialty in Woodward, OK

Active since November 20, 2006
1222 10TH STREET, SUITE 211, NORTHWEST CENTER FOR BEHAVIORAL HEALTH, WOODWARD, OK 73801(580) 571-3217(580) 256-8609 Get Directions Write a Review

NPPES record last updated: March 24, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About State Of Oklahoma NPPES

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

STATE OF OKLAHOMA (NPI 1750456588) is a healthcare organization registered as a medical specialty in Woodward, Oklahoma and active in the NPI registry since November 2006. The organization lists Autumn Nickelson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1750456588
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameSTATE OF OKLAHOMA
Location Address1222 10TH STREET, SUITE 211, NORTHWEST CENTER FOR BEHAVIORAL HEALTHWoodward, OK 73801-3156
Mailing Address1222 10th Street, Suite 211, Northwest Center For Behavioral HealthWoodward, OK 73801-3156 · (580) 571-3217 · Fax (580) 256-8609
Fax(580) 256-8609
Organization SubpartNo
Authorized OfficialAutumn NickelsonExecutive Director · (580) 571-3231
Enumeration DateNovember 20, 2006
Last NPPES UpdateMarch 24, 2022
NPPES CertifiedMarch 24, 2022
NPI 1750456588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
1222 10TH STREET, SUITE 211, Woodward, OK 73801

Other Identifiers 1

Medicaid100707390AOK

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Licensed Practical Nurse
1222 10TH STREET, SUITE 211, NORTHWEST CENTER FOR BEHAVIORAL HEALTH
WOODWARD, OK 73801
Social Worker (Clinical)
1222 10TH STREET, SUITE 211, NORTHWEST CENTER FOR BEHAVIORAL HEALTH
WOODWARD, OK 73801

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's NPI number?

The NPI number for State Of Oklahoma is 1750456588. It was assigned to this organization in the NPPES registry on November 20, 2006.

Where is State Of Oklahoma located?

State Of Oklahoma is located at 1222 10th Street, Suite 211 Northwest Center For Behavioral Health, Woodward, OK 73801. The listed phone number is (580) 571-3217.

What is State Of Oklahoma's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

What insurance does State Of Oklahoma accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list State Of Oklahoma as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for State Of Oklahoma was last updated on March 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.