# SSM HEALTH CARE OF OKLAHOMA, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St Anthony Physicians Telepsychiatry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437561180
- **Authorized official:** CRYSTAL L PENA (INSURANCE CREDENTIALING SPECIALIST)
- **Authorized official phone:** (405) 272-7452

## Contact information

- **Practice address:** 333 CENTRAL PARK W, SUITE 36, NEW YORK, NY 10025-7145
- **Practice address phone:** (405) 231-8866
- **Practice address fax:** (405) 272-8599
- **Mailing address:** PO BOX 269064, OKLAHOMA CITY, OK 73126-9064
- **Mailing address phone:** (405) 231-3857
- **Mailing address fax:** (405) 272-7977

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 30382 | OK | Yes |

## Other

- **Enumeration date:** 05/29/2014
- **Last updated:** 05/29/2014