Organization
NORTHCARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNELLE BRUMMEL (CREDENTIALING SPECIALIST)
(405) 858-2733
Entity
Organization
Contact information
Practice address
1140 N HUDSON AVE, OKLAHOMA CITY, OK 73103-3918
(405) 272-0660
Mailing address
809 HEATHERHILL CT, NORMAN, OK 73072-4219
(405) 360-3942
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2547
OK
Other
Enumeration date
05/12/2007
Last updated
08/22/2020
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