NPI

Camelot Community Services Of Oklahoma, Llc

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Organization
Enumeration date
2006-12-19
Last updated
2009-11-18

Specialties

Licenses

The registry row did not include a license.

Location

Practice location
100 N Broadway St
City
Broken Bow OK
Postal code
74728-3934
Phone
(580) 584-6054

Organization contact

Name
DERREL LEVY
Title
Exec Dir
Phone
5802982830

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Broken Bow, OK. 121 records in the public file.

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