Organization
OUTPATIENT SURGICAL CENTER OF PONCA CITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEFFI MOON COWAN (ADMINISTRATOR)
(580) 762-0695
Entity
Organization
Contact information
Practice address
400 FAIRVIEW AVE, SUITE 50, PONCA CITY, OK 74601-1920
(580) 762-0695
(580) 765-9406
Mailing address
400 FAIRVIEW AVE, SUITE 50, PONCA CITY, OK 74601-1920
(580) 762-0695
(580) 765-9406
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0021
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200037990A
—
OK
Enumeration date
04/25/2006
Last updated
11/01/2010
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