Organization
SUMMIT MEDICAL CENTER
Active
Other names
Summit Medical Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS G. BAKER (EXECUTIVE VICE PRESIDENT)
(405) 359-2460
Entity
Organization
Contact information
Practice address
1800 S. RENAISSANCE BLVD., EDMOND, OK 73013-3023
(405) 359-2400
(405) 359-9186
Mailing address
P.O. BOX 269083, OKLAHOMA CITY, OK 73126
(405) 359-2400
(405) 359-9186
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
OK
282N00000X
General Acute Care Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37D1049908
CLIA ID
OK
Enumeration date
09/03/2009
Last updated
08/20/2020
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