Organization
OWASSO MEDICAL FACILITY LLC
Active
Other names
ST JOHN OWASSO
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID PHILLIPS (CEO)
(918) 274-5100
Entity
Organization
Contact information
Practice address
12451 E 100TH ST N, OWASSO, OK 74055-4600
(918) 274-5046
(918) 274-5148
Mailing address
12451 E 100TH ST N, OWASSO, OK 74055-4600
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
25121
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3724728
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
11/29/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us