STATE OF OKLAHOMA; NPI #1952309064

Contact Information

STATE OF OKLAHOMA

900 E AIRPORT RD
OKMULGEE, OK 74447-1118

Phone: 918-266-2470
Fax: 918-756-9452
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rehabilitation Hospital	283X00000X	A0[7]	Hospital-Rehabilitation (PPS excluded)

Indicates primary specialty

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NPI Profile & details for STATE OF OKLAHOMA

NPI # 1952309064

LBN Legal business name STATE OF OKLAHOMA

Authorized official KAREN KNIGHT - (BUSINESS MGR)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 07/12/2005

Last updated 11/09/2009 - About 17 years ago

Identifiers

OK	License #	2318
OK	Medicaid	1006936508

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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STATE OF OKLAHOMA

Contact Information

Specialty

Rehabilitation Hospital

NPI Profile & details for STATE OF OKLAHOMA

Reviews for STATE OF OKLAHOMA