Organization
SAINT MEDICAL GROUP, LLC
Active
Parent organization
SSM HEALTH CARE OF OKLAHOMA, INC.
Other names
SSM Health Behavioral Health Edmond
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM HEALTH CARE OF OKLAHOMA, INC.
Authorized official
CRYSTAL L PENA (CREDENTIALING SPECIALIST)
(405) 272-7452
Entity
Organization
Contact information
Practice address
416 W 15TH ST, EDMOND, OK 73013-3747
(405) 513-8535
Mailing address
416 W 15TH ST, EDMOND, OK 73013-3747
(405) 513-8535
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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