Organization
VALIR PACE FOUNDATION
Active
Organization
VALIR PACE FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACY SMITH (CHIEF OPERATING OFFICER)
(405) 609-3600
Entity
Organization
Contact information
Practice address
721 NW 6TH ST, OKLAHOMA CITY, OK 73102-1205
(405) 609-3600
Mailing address
721 NW 6TH ST, OKLAHOMA CITY, OK 73102-1205
(405) 609-3600
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H7114
MEDICARE PACE PROVIDER CONTRACT NUMBER
OK
Enumeration date
05/15/2014
Last updated
05/15/2014
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