STATE OF OKLAHOMA; NPI #1609972058

Contact Information

STATE OF OKLAHOMA

2002 E ROBINSON ST
NORMAN, OK 73071-7420

Phone: 405-307-2800
Fax: 405-307-2801
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rehabilitation	261QR0400X	B4[14]	Rehabilitation Agency

Indicates primary specialty

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NPI Profile & details for STATE OF OKLAHOMA

NPI # 1609972058

LBN Legal business name STATE OF OKLAHOMA

Authorized official VICTORIA KUESTERSTEFFEN - (DIRECTOR AND CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/15/2006

Last updated 05/05/2014 - About 12 years ago

Identifiers

OK	License #	2239
OK	Medicaid	100700670A
OK	Medicaid	100708750A

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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