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NORTHWEST SUBSTANCE ABUSE TREATMENT CENTER
NPI 1942334768
Substance Abuse Rehabilitation Facility in Waynoka, OK

Active since March 15, 2007
1095 NICKERSON ST, WAYNOKA, OK 73860(580) 824-0674(580) 824-0676 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Northwest Substance Abuse Treatment Center NPPES

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

NORTHWEST SUBSTANCE ABUSE TREATMENT CENTER (NPI 1942334768) is a healthcare organization registered as a substance abuse rehabilitation facility in Waynoka, Oklahoma and active in the NPI registry since March 2007. The organization lists Sidney Don Smiley, Chairman Of The Trustee Board, as its authorized official.

NPPES Registry Identity

NPI1942334768
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameWAYNOKA MENTAL HEALTH AUTHORITY
Location Address1095 NICKERSON STWaynoka, OK 73860-1252
Mailing AddressPo Box 135Waynoka, OK 73860-0135 · (580) 824-0674 · Fax (580) 824-0676
Phone(580) 824-0674
Fax(580) 824-0676
Organization SubpartNo
Authorized OfficialSidney Don SmileyChairman Of The Trustee Board · (580) 824-0674
Enumeration DateMarch 15, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1942334768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in OK · 76244
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
1095 NICKERSON ST, Waynoka, OK 73860
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Other Names 1

Doing Business AsNorthwest Substance Abuse Treatment Center

Other Identifiers 1

Other54197143OK · Tpin Number

Other Providers at the Same Location NPPES 20

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

MRS. KAYLA LOUISE MCCLAIN BS
Counselor
1095 NICKERSON ST
WAYNOKA, OK 73860
Woods County (580) 824-0674
MACKENZIE RAE BRUNE PRSS
Case Manager/Care Coordinator
1095 NICKERSON ST
WAYNOKA, OK 73860
Woods County (580) 737-0007
MRS. MARSHA LYNNETTE CUNNINGHAM
Case Manager/Care Coordinator
1095 NICKERSON ST
WAYNOKA, OK 73860
Woods County (580) 824-0674
JEANNIE LONG
Peer Specialist
1095 NICKERSON ST
WAYNOKA, OK 73860
Woods County (580) 824-0674
BRITTANY MICHELLE CAMPBELL
Peer Specialist
1095 NICKERSON ST
WAYNOKA, OK 73860
Woods County (580) 824-0674
CLARISSA M FIFIELD LCSW
Social Worker (Clinical)
1095 NICKERSON ST
WAYNOKA, OK 73860
Woods County (580) 824-0674
KRISTEN RENEA HARRIS
Case Manager/Care Coordinator
1095 NICKERSON ST
WAYNOKA, OK 73860
Woods County (580) 824-0674
SUSAN JEANICE BRADFORD
Case Manager/Care Coordinator
1095 NICKERSON ST
WAYNOKA, OK 73860
Woods County (580) 430-5271

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 Waynoka Mental Health Authority's NPI number?

The NPI number for Waynoka Mental Health Authority is 1942334768. It was assigned to this organization in the NPPES registry on March 15, 2007. The provider is doing business as Northwest Substance Abuse Treatment Center.

Where is Waynoka Mental Health Authority located?

Waynoka Mental Health Authority is located at 1095 Nickerson St, Waynoka, OK 73860. The listed phone number is (580) 824-0674.

What is Waynoka Mental Health Authority's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Waynoka Mental Health Authority was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.