State of Oklahoma
NPI 1922171701 · Psychiatric Hospital · Fort Supply, OK
Enrolled with Medicare as Part a Provider - Hospital · source: CMS PECOS Public Provider Enrollment (2026.04.01)
State of Oklahoma is a Psychiatric Hospital organization in Fort Supply, OK (NPI 1922171701).
Provider details
- NPI number
- 1922171701
- Entity type
- Organization
- Primary specialty
- Psychiatric HospitalHospitals
- Organization subpart
- No
- Authorized official
- Autumn Nickelson, Executive Director(580) 571-3231
Specialties & taxonomies
Hospitals
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Other names (DBA / former)
- Doing business as
- Northwest Center for Behavioral Health
- Doing business as
- Northwest Center for Behavioral Health
Registry dates
- Enumerated
- 2006-11-17
- Last updated
- 2023-12-11
- Certified
- 2023-12-08
Frequently asked questions
- What is State of Oklahoma's NPI number?
- State of Oklahoma's National Provider Identifier (NPI) is 1922171701, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is State of Oklahoma?
- State of Oklahoma is classified in the NPPES registry as Psychiatric Hospital (Hospitals).
- Where is State of Oklahoma located?
- State of Oklahoma's practice location on file with NPPES is 193461 E Ct Rd 304, Fort Supply, OK 73841-0001.
- What is State of Oklahoma's phone number?
- The practice phone number listed in the NPPES registry for State of Oklahoma is (580) 766-2311.
- Does State of Oklahoma accept Medicare?
- State of Oklahoma is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for State of Oklahoma?
- The authorized official listed on State of Oklahoma's NPPES record is Autumn Nickelson, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is State of Oklahoma's NPI active?
- Yes — State of Oklahoma's NPI (1922171701) is active in the NPPES registry as of the last update on 2023-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.