GOODWILL INDUSTRIES OF TULSA INC; NPI #1861568859

Contact Information

GOODWILL INDUSTRIES OF TULSA INC

2800 SOUTHWEST BLVD
TULSA, OK 74107-3817

Phone: 918-584-7291
Fax:
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 GOODWILL INDUSTRIES OF TULSA INC

NPI Number 1861568859

LBN Legal business name GOODWILL INDUSTRIES OF TULSA INC

Authorized official DAVID OLIVER - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/28/2006

Last updated 05/23/2008 - About 18 years ago

Identifiers

Other

100802990G

OKLAHOMA PROVIDER ID

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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