Provider Demographics
NPI:1871546135
Name:HCA HEALTH SERVICES OF OKLAHOMA, INC.
Entity type:Organization
Organization Name:HCA HEALTH SERVICES OF OKLAHOMA, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:LAVAUGHN
Authorized Official - Middle Name:
Authorized Official - Last Name:CAREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-359-5530
Mailing Address - Street 1:1 S BRYANT AVE
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-6309
Mailing Address - Country:US
Mailing Address - Phone:405-341-6100
Mailing Address - Fax:405-359-5500
Practice Address - Street 1:1 S BRYANT AVE
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-6309
Practice Address - Country:US
Practice Address - Phone:405-341-6100
Practice Address - Fax:405-359-5500
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HCA HEALTH SERVICES OF OKLAHOMA, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-18
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
621757655001OtherTRICARE PSYCH
37S148Medicare Oscar/Certification