Organization
STATE OF OKLAHOMA-OKMULGEE
Active
Other names
OSUIT Student Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA WILSON (DIRECTOR OF FINANCIAL SERVICES)
91856118322
Entity
Organization
Contact information
Practice address
1801 E 4TH ST, STUDENT UNION BUILDING, OKMULGEE, OK 74447-3942
(918) 293-4946
Mailing address
1801 E 4TH ST, STUDENT UNION BUILDING, OKMULGEE, OK 74447-3942
(918) 293-4946
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/09/2012
Last updated
03/09/2012
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