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Pennington Creek Life House

Community/Behavioral Health

JAN WYATT
NPI: 1922246115Coalgate, Oklahoma, 74538(580) 310-4164

About Pennington Creek Life House

Pennington Creek Life House is a healthcare organization providing Community/Behavioral Health services, registered under National Provider Identifier (NPI) number 1922246115. The authorized official for Pennington Creek Life House is JAN WYATT.

The organization is headquartered at 8 S MICHIGAN ST STE B, Coalgate, Oklahoma 74538. The main office can be reached at (580) 310-4164. Pennington Creek Life House has been NPI-registered since 2009.

Locations & Contact

Primary Location

Address
8 S MICHIGAN ST STE B
City
Coalgate
State
Oklahoma
ZIP
74538-2825
Phone
(580) 310-4164
View on Google Maps

Authorized Official

Name
JAN WYATT

Mailing Address

Address
PO BOX 261
City
FITTSTOWN
State
OK
ZIP
748420261

NPI Registration

Enumeration Date
Last Updated
Certification Date

Services & Taxonomy

Specialty & Classification

Primary Specialty
Community/Behavioral Health
Classification
Community/Behavioral Health
Taxonomy Code
251S00000X

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Pennington Creek Life House's NPI number?
Pennington Creek Life House's National Provider Identifier (NPI) is 1922246115. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Pennington Creek Life House specialize in?
Pennington Creek Life House specializes in Community/Behavioral Health.
Where is Pennington Creek Life House located?
Pennington Creek Life House practices at 8 S MICHIGAN ST STE B, Coalgate, Oklahoma 74538. You can reach them by phone at (580) 310-4164.
Does Pennington Creek Life House accept Medicare?
Based on available data, Pennington Creek Life House is not currently enrolled in the Medicare program.
Does Pennington Creek Life House offer telehealth or virtual visits?
Pennington Creek Life House does not currently offer telehealth services. In-person visits are required at their practice location.

What is a Type 2 NPI (Organization)?

A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Pennington Creek Life House holds NPI 1922246115, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.