Organization
SAINTS MEDICAL GROUP, LLC
Active
Parent organization
SSM HEALTH CARE OF OKLAHOMA, INC.
Other names
SSM Health Medical Group Women's Behavioral Health Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM HEALTH CARE OF OKLAHOMA, INC.
Authorized official
CRYSTAL L PENA (PROVIDER ENROLLMENT)
(405) 272-7452
Entity
Organization
Contact information
Practice address
535 NW 9TH ST STE 220, OKLAHOMA CITY, OK 73102-1072
(405) 272-8498
(405) 272-8425
Mailing address
535 NW 9TH ST STE 220, OKLAHOMA CITY, OK 73102-1072
(405) 272-8498
(405) 272-8425
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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