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Organization
OKLAHOMA SPINE HOSPITAL LLC
Active
Organization
OKLAHOMA SPINE HOSPITAL LLC
Active
Other names
SSM Health Oklahoma Spine Hospital, Oklahoma Spine Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN LANE BLAYLOCK (C.E.O)
(405) 749-2700
Entity
Organization
Contact information
Practice address
14101 PARKWAY COMMONS DR, OKLAHOMA CITY, OK 73134-6012
(405) 749-2700
(405) 749-2743
Mailing address
PO BOX 803918, KANSAS CITY, MO 64180-3918
(405) 775-4241
(405) 841-9385
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
2345
OK
Other
Enumeration date
01/23/2006
Last updated
04/27/2026
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