1205887916 NPI number — HCA HEALTH SERVICES OF OKLAHOMA, INC.

Table of content: (NPI 1205887916)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205887916 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:
Provider Other Organization Name Type Code:
6
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:
1205887916
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/17/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 S BRYANT AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EDMOND
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
73034-6309
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
405-341-6100
Provider Business Mailing Address Fax Number:
405-359-5500

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 S BRYANT AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EDMOND
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73034-6309
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
405-341-6100
Provider Business Practice Location Address Fax Number:
405-359-5500
Provider Enumeration Date:
05/15/2006

Additional Information

Authorized Official

Authorized Official Last Name:
CAREY
Authorized Official First Name:
LAVAUGHN
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
405-359-5530

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: 100697940A , issued by the state of ( OK ) . This identifiers is of the category "MEDICAID".
  • Identifier: 370148001 . This is a "BLUE CROSS" identifier , issued by the state of ( OK ) . This identifiers is of the category "OTHER".
  • Identifier: 62175765500 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 04338300 , issued by the state of ( MS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 80632600 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 072687901 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1703222 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01836736 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0376267 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0572768 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 621757655001 , issued by the state of ( IL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 016104507 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200003680A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 621757655 . This is a "TRICARE- ACUTE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 941262 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 149055105 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 166280900 . This is a "DEPT OF LABOR" identifier . This identifiers is of the category "OTHER".
  • Identifier: 75473267 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: EDM0148N , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".




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