Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

State of Oklahoma

Organization Psychiatric Hospital · NPI 1922171701

State of Oklahoma is a Psychiatric Hospital in Fort Supply, Oklahoma. Registered with an NPI since 2006.

In the registry since
2006
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Practice location Address checks out

193461 E CT Rd 304
Fort Supply, OK 73841-0001
Phone: (580) 766-2311
Fax: (580) 766-2017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric Hospital (primary) Taxonomy 283Q00000X

Record details

NPI number1922171701
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Autumn Nickelson — Executive Director · (580) 571-3231
Other names Northwest Center For Behavioral Health; Northwest Center For Behavioral Health
NPI enumeratedNovember 17, 2006
Last updated in NPPESDecember 11, 2023
Certification dateDecember 8, 2023
Mailing address193461 E Ct Rd 304, Fort Supply, OK 73841-0001