Organization
IHS ACQUISITION NO 168 INC
Active
Other names
Specialty Hospital of Midwest City
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN REYNOLDS (CEO)
(410) 513-8738
Entity
Organization
Contact information
Practice address
8210 NATIONAL AVE, MIDWEST CITY, OK 73110-8518
(405) 739-0800
Mailing address
8210 NATIONAL AVE, MIDWEST CITY, OK 73110-8518
(405) 739-0800
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
2335
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100724700
—
OK
Enumeration date
07/18/2005
Last updated
07/16/2014
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