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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 Specialty Code Provider Type

Clinic/Center

261Q00000X
 

Public Health, Federal

261QP0904X
Indicates primary specialty

NPI Profile & details for STATE OF OKLAHOMA

NPI Number 1114044369
LBN Legal business name STATE OF OKLAHOMA
Authorized official GITANJALI PAI - (CHIEF MEDICAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/23/2007
Last updated 08/16/2024 - More than a year ago
Identifiers
OK Medicaid 100728660C
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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