Organization
SSM HEALTH CARE OF OKLAHOMA, INC.
Active
Other names
SSM Health St Anthony Hospital - Oklahoma City
Organization subpart
No
Provider details
NPI number
Authorized official
SHASTA RENE MANUEL (VP FINANCE)
(405) 272-7282
Entity
Organization
Contact information
Practice address
1000 N LEE AVE, OKLAHOMA CITY, OK 73102-1036
(405) 231-3857
(405) 272-4948
Mailing address
PO BOX 958210, SAINT LOUIS, MO 63195-8210
(405) 231-3857
(405) 272-7977
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/25/2006
Last updated
04/29/2025
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