Organization
HCA HEALTH SERVICES OF OKLAHOMA, INC.
Active
Other names
EDMOND MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
LAVAUGHN CAREY (CFO)
(405) 359-5530
Entity
Organization
Contact information
Practice address
1 S BRYANT AVE, EDMOND, OK 73034-6309
(405) 341-6100
(405) 359-5500
Mailing address
1 S BRYANT AVE, EDMOND, OK 73034-6309
(405) 341-6100
(405) 359-5500
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016104507
—
MO
05
—
01836736
—
PA
05
—
0376267
—
OH
05
—
04338300
—
MS
05
—
0572768
—
IA
05
—
072687901
—
TX
05
—
100697940A
—
OK
05
—
149055105
—
AR
01
—
166280900
DEPT OF LABOR
—
05
—
1703222
—
LA
05
—
200003680A
—
KS
01
—
370148001
BLUE CROSS
OK
01
—
621757655
TRICARE- ACUTE
—
05
—
62175765500
—
NE
05
—
621757655001
—
IL
05
—
75473267
—
CO
05
—
80632600
—
WI
05
—
941262
—
AZ
05
—
EDM0148N
—
AL
Enumeration date
05/15/2006
Last updated
03/17/2011
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