Organization
SSM HEALTH CARE OF OKLAHOMA, INC
Active
Other names
SSM Health St Anthony Hospital - Oklahoma City, SSM Health St. Anthony Hospital - Oklahoma City
Organization subpart
No
Provider details
NPI number
Authorized official
SHASTA RENE MANUEL (REGIONAL VP - FINANCE)
(405) 272-7279
Entity
Organization
Contact information
Practice address
1000 N LEE AVE, OKLAHOMA CITY, OK 73102
(405) 272-7000
Mailing address
1000 N LEE AVE, OKLAHOMA CITY, OK 73102-1036
(405) 272-7000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
2304
OK
261QM2500X
Medical Specialty Clinic/Center
2304
OK
367500000X
Certified Registered Nurse Anesthetist
Primary
2304
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100699540 C
—
OK
Enumeration date
11/20/2006
Last updated
04/24/2025
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