# SSM HEALTH CARE OF OKLAHOMA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SSM Health St Anthony Hospital - Oklahoma City
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487677456
- **Authorized official:** SHASTA RENE MANUEL (VP FINANCE)
- **Authorized official phone:** (405) 272-7282

## Contact information

- **Practice address:** 1000 N LEE AVE, OKLAHOMA CITY, OK 73102-1036
- **Practice address phone:** (405) 231-3857
- **Practice address fax:** (405) 272-4948
- **Mailing address:** PO BOX 958210, SAINT LOUIS, MO 63195-8210
- **Mailing address phone:** (405) 231-3857
- **Mailing address fax:** (405) 272-7977

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 04/29/2025