Organization
SSM HEALTH CARE OF OKLAHOMA, INC.
Active
Parent organization
SSM HEALTH CARE OF OKLAHOMA, INC.
Other names
SSM Health St. Anthony Hospital - Oklahoma City
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM HEALTH CARE OF OKLAHOMA, INC.
Authorized official
SHASTA RENE MANUEL (REGIONAL VP - FINANCE)
(405) 272-7279
Entity
Organization
Contact information
Practice address
1000 N LEE AVE, OKLAHOMA CITY, OK 73102
(405) 272-7000
Mailing address
1000 N LEE AVE, OKLAHOMA CITY, OK 73102-1036
(405) 272-7000
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
2304
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100699540L
—
OK
Enumeration date
09/11/2006
Last updated
08/30/2018
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