National Provider Identifier Database

STATE OF OKLAHOMA
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).


Contact Information

STATE OF OKLAHOMA
123 ROBERT S KERR AVE STE 1702
OKLAHOMA CITY, OK73102-6406
Phone: 405-426-8650
Fax: 405-900-7498
Website:
Specialty Taxonomy Code
* Clinic/Center 261Q00000X
Public Health, Federal 261QP0904X

* Indicates primary specialty

NPI Profile & details for STATE OF OKLAHOMA

NPI Number 1114044369
Legal business name
LBN
STATE OF OKLAHOMA
Authorized official GITANJALI PAI - (CHIEF MEDICAL OFFICER)
Entity Organization
Organization subpart No
Enumeration date 03/23/2007
Last updated 08/16/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • OK Medicaid: 100728660C

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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