Organization
COMMUNITY HEALTH CLINIC
Active
Parent organization
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANS
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANS
Authorized official
BRIAN MADDY (CEO)
(405) 271-1515
Entity
Organization
Contact information
Practice address
921 NE 23RD ST, OKLAHOMA CITY, OK 73105-7936
(405) 271-5858
(405) 600-9128
Mailing address
1122 NE 13TH STREET, ORI 236, OKLAHOMA CITY, OK 73117-1039
(405) 271-1515
(405) 271-1001
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/18/2012
Last updated
11/05/2012
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