Provider Demographics
NPI:1497913610
Name:THE OASIS CHILDREN'S ADVOCATE CENTER
Entity Type:Organization
Organization Name:THE OASIS CHILDREN'S ADVOCATE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HANK
Authorized Official - Middle Name:RANDALL
Authorized Official - Last Name:BASKETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:575-769-7732
Mailing Address - Street 1:PO BOX 1922
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:NM
Mailing Address - Zip Code:88102-1922
Mailing Address - Country:US
Mailing Address - Phone:575-769-7732
Mailing Address - Fax:575-763-1474
Practice Address - Street 1:1523 W 13TH ST
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:NM
Practice Address - Zip Code:88101-5568
Practice Address - Country:US
Practice Address - Phone:575-769-7732
Practice Address - Fax:575-763-1474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-23
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable