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Pennington Creek Life House

Community/Behavioral Health Agency in Tishomingo, OK · enumerated 2012 · authorized official Jan Owens, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164771366

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Registry record

Entity type Organization (Type 2)
Legal business name Pennington Creek Life House
Practice address 801 E Main St, Tishomingo, OK, 73460
Phone (580) 371-3776
Enumeration date Sep 4, 2012
Last updated in NPPES Sep 4, 2012

Taxonomy & classification

251S00000X Community/Behavioral Health Agency Agencies Primary

Authorized official

Name Jan Owens
Title Owner
Phone (580) 371-3776

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Pennington Creek Life House?
The NPI for Pennington Creek Life House is 1164771366, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Pennington Creek Life House?
NPPES lists Jan Owens (Owner) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-09-04.