PROVIDENCE HOUSE – Intellectual Disabilities Intermediate Care Facility, NPI 1679565709

PROVIDENCE HOUSE is a healthcare provider. based in Guthrie, Oklahoma. specializing in Intellectual Disabilities Intermediate Care Facility. The organization holds a License No. NH4208 (OK). The NPI Number for PROVIDENCE HOUSE is 1679565709

Main info

Organization
Name
PROVIDENCE HOUSE
NPI
1679565709
Phone
(405) 282-1517
Address
405 N 20TH ST
Authorized Official
MR. GREG MACHTOLFF MANAGER
Enumeration Date
16 August 2005
Last Update Date
8 September 2011
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for PROVIDENCE HOUSE

  • 405, North 20th Street, Guthrie, Logan County, Oklahoma, 73044, United States

    GUTHRIE, OK 730442103

    Phone: (405) 282-1517

    Fax: (405) 282-9007

    Type: Location

  • PO BOX 977

    GUTHRIE, OK 730440977

    Phone: (405) 282-2600

    Fax: (405) 282-2610

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73044)

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Reviews

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Frequently asked questions

Where can patients find PROVIDENCE HOUSE's NPI?
You can confirm PROVIDENCE HOUSE with NPI 1679565709; it appears in the national provider directory.
Is PROVIDENCE HOUSE currently active in the NPI registry?
CMS-published data lists PROVIDENCE HOUSE as an active registrant.
What field does PROVIDENCE HOUSE work in?
You can think of PROVIDENCE HOUSE as practicing within Intellectual Disabilities Intermediate Care Facility. Clinical services aligned with this taxonomy classification.
What location metadata exists for PROVIDENCE HOUSE?
The page summarizes Guthrie, Oklahoma for PROVIDENCE HOUSE; expand the address list for detail.
Is PROVIDENCE HOUSE a real provider?
This page reflects official NPPES data for NPI 1679565709. Always confirm identity and privileges with the practice and licensing boards.

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