Organization
SSM HEALTH CARE OF OKLAHOMA, INC
Active
Parent organization
SSM HEALTH CARE OF OKLAHOMA, INC
Other names
St. Michael Hospital Psychiatric Physicians Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM HEALTH CARE OF OKLAHOMA, INC
Authorized official
MR. GREG SIMIA (CFO)
(405) 272-7000
Entity
Organization
Contact information
Practice address
2129 SW 59TH ST, OKLAHOMA CITY, OK 73119-7024
(405) 713-5790
(405) 713-5786
Mailing address
PO BOX 269009, OKLAHOMA CITY, OK 73126-9009
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200009970 A
—
OK
Enumeration date
09/21/2006
Last updated
07/08/2011
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