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Contact Information

OKLAHOMA STATE UNIVERISTY MEDICAL CENTER
717 S HOUSTON AVE
SUITE 400
TULSA, OK74127-9023
 Phone: 918-382-4600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Children

282NC2000X A0[7] Hospital-Children’s (PPS excluded)
Indicates primary specialty

NPI Profile & details for OKLAHOMA STATE UNIVERISTY MEDICAL CENTER

NPI Number 1750828893
LBN Legal business name OKLAHOMA STATE UNIVERISTY MEDICAL CENTER
Authorized official SHAWNA DUNCAN - (PROGRAM DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/27/2017
Last updated 01/27/2017 - About 9 years ago
Identifiers
OK License # 5986
OK Medicaid 200652820
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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