Organization · Type 2 NPI

Modoc Nation Behavioral Health

Multi-Specialty Clinic/Center · Wyandotte, OK

NPI number 1265083380 Active

Practice location

10025 S 705 Rd
Wyandotte, OK 74370-9507

Call (918) 303-5433 Map

Mailing address

22 N Eight Tribes Trl
Miami, OK 74354-1011

Other practice locations

21 N Eight Tribes Trl Ste B, Miami, OK 74354-1010 · (918) 602-9516

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor	101YA0400X	None listed
Adult Mental Health Clinic/Center	261QM0850X	None listed
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed

Multi-Specialty Clinic/Center: Definition to come...

12 other providers at this address

NPI record

NPI: 1265083380
Entity type: Organization (Type 2)
Issued: Sep 20, 2019
Last updated: Oct 28, 2026
Status: Active
Subpart: Yes of Modoc Nation Behavioral Health

Other names

<unavail>
Lost River · doing business as
Lost River Treatment Center · doing business as

Authorized official

Laci Barton, APRN-CNP
Director of Operations
(918) 303-5433

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1265083380

Modoc Nation Behavioral Health's National Provider Identifier is 1265083380, issued on Sep 20, 2019. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Wyandotte, OK. The record was last updated on Oct 28, 2026.