Organization
SOUTH WELLNESS COMMUNITY HEALTH CLINIC
Active
Parent organization
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANS
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANS
Authorized official
BRIAN L MADDY (CEO)
(405) 271-3932
Entity
Organization
Contact information
Practice address
1122 NE 13TH ST, ORI 274, OKLAHOMA CITY, OK 73117-1039
(405) 271-5860
(405) 778-6843
Mailing address
2149 SW 59TH ST, OKLAHOMA CITY, OK 73119-7033
(405) 271-5860
(405) 778-6843
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/15/2014
Last updated
05/18/2015
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