Providence Service Corp
NPI 1164721056 · Mental Health Clinic/Center (Including Community Mental Health Center) · Hugo, OK
Providence Service Corp is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Hugo, OK (NPI 1164721056).
Provider details
- NPI number
- 1164721056
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tara Myers, Rehab Specialist(580) 326-7477
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-03-18
- Last updated
- 2011-03-18
Frequently asked questions
- What is Providence Service Corp's NPI number?
- Providence Service Corp's National Provider Identifier (NPI) is 1164721056, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Service Corp?
- Providence Service Corp is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Providence Service Corp located?
- Providence Service Corp's practice location on file with NPPES is 117 E Main St, Hugo, OK 74743-6237.
- What is Providence Service Corp's phone number?
- The practice phone number listed in the NPPES registry for Providence Service Corp is (580) 326-7477.
- Who is the authorized official for Providence Service Corp?
- The authorized official listed on Providence Service Corp's NPPES record is Tara Myers, Rehab Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Service Corp's NPI active?
- Yes — Providence Service Corp's NPI (1164721056) is active in the NPPES registry as of the last update on 2011-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.