OrganizationActive
Pennington Creek Life House
NPI 1922246115 · Community/Behavioral Health Agency · Coalgate, OK
Pennington Creek Life House is a Community/Behavioral Health Agency organization in Coalgate, OK (NPI 1922246115).
Provider details
- NPI number
- 1922246115
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jan Wyatt, Clinical Director(580) 310-4164
- License
- 3877 (OK)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
8 S Michigan St Ste B
Coalgate, OK 74538-2825
Phone: (580) 310-4164
Street-level locationGet directions
Mailing address
Po Box 261
Fittstown, OK 74842-0261
Registry dates
- Enumerated
- 2009-01-27
- Last updated
- 2009-01-27
Frequently asked questions
- What is Pennington Creek Life House's NPI number?
- Pennington Creek Life House's National Provider Identifier (NPI) is 1922246115, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pennington Creek Life House?
- Pennington Creek Life House is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Pennington Creek Life House located?
- Pennington Creek Life House's practice location on file with NPPES is 8 S Michigan St Ste B, Coalgate, OK 74538-2825.
- What is Pennington Creek Life House's phone number?
- The practice phone number listed in the NPPES registry for Pennington Creek Life House is (580) 310-4164.
- Who is the authorized official for Pennington Creek Life House?
- The authorized official listed on Pennington Creek Life House's NPPES record is Jan Wyatt, Clinical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pennington Creek Life House's NPI active?
- Yes — Pennington Creek Life House's NPI (1922246115) is active in the NPPES registry as of the last update on 2009-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.