1780631390 NPI number — HCA HEALTH SERVICES OF OKLAHOMA INC

Table of content: (NPI 1780631390)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780631390 NPI number — HCA HEALTH SERVICES OF OKLAHOMA INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HCA HEALTH SERVICES OF OKLAHOMA INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
OU MEDICAL CENTER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1780631390
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/21/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
700 NE 13TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OKLAHOMA CITY
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
73104-5004
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
405-271-5100
Provider Business Mailing Address Fax Number:
405-271-6032

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
700 NE 13TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OKLAHOMA CITY
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73104-5004
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
405-271-5100
Provider Business Practice Location Address Fax Number:
405-271-6032
Provider Enumeration Date:
05/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
DAVIS
Authorized Official First Name:
DANIEL
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
405-271-4406

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 100101410A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01500420 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 118127100 , issued by the state of ( WY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 194390 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 012586608 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0370093 , issued by the state of ( VT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 11194A , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 6110100 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 92419 . This is a "AMERIGROUP" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 0019397150002 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01511 , issued by the state of ( ND ) . This identifiers is of the category "MEDICAID".
  • Identifier: 359398300 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 072698601 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 124070700 . This is a "DEPT OF LABOR" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1766631 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 911271500 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 95003729 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: HS477IP , issued by the state of ( AK ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0220824 , issued by the state of ( MS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 138755105 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".




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