DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PRODIGY FOUNDATION

Active Organization

PRODIGY FOUNDATION is a Community/Behavioral Health organization located in TAHLEQUAH, Oklahoma. NPI 1700928603 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · TAHLEQUAH, OK

Registration Details

NPI Number
1700928603
Provider Type
Organization
NPI Issued
Feb 14, 2007 (19.539669012723 yrs)
Last Updated
Aug 22, 2020

Practice Information

Address
1024 S MUSKOGEE AVE
TAHLEQUAH, OK, 744644734
Browse OK providers · Browse ZIP 74464
Phone
9184568399
Fax
9184568773
Primary Specialty
Community/Behavioral Health
251S00000X

Other Community/Behavioral Health Organizations in TAHLEQUAH, OK

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.