Organization
SOUTHERN OKLAHOMA SURGICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY MORRIS RN (ADMINISTRATOR)
(580) 226-5000
Entity
Organization
Contact information
Practice address
2412 NORTH COMMERCE, ARDMORE, OK 73401-1356
(580) 226-5000
(580) 226-5035
Mailing address
2412 NORTH COMMERCE, ARDMORE, OK 73401-1356
(580) 226-5000
(580) 226-5035
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0023
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000371010001
BLUE CROSS BLUE SHIELD
OK
05
—
100736890A
—
OK
01
—
490000424
RAILROAD MEDICARE
OK
Enumeration date
08/16/2005
Last updated
11/18/2008
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