Oklahoma Medical And Psychiatric Services INC
Psychiatric Hospital in Tulsa, OK. Organization (NPI-2).
NPI number1083807366
StatusActive
Last updated in NPPESFeb 4, 2022
Details
- NPI
- 1083807366
- Entity type
- Organization (NPI-2)
- Legal business name
- Oklahoma Medical And Psychiatric Services INC
- Organization subpart
- No
- Enumeration date
- Aug 21, 2007
- Certification date
- Feb 4, 2022
- Last updated
- Feb 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 283Q00000X | Psychiatric Hospital | 3028 | OK | Yes |
Practice location
6646 S Indianapolis AveTulsa, OK 74136-2605
Phone 918-492-7722 · Fax 918-357-5959
Mailing address
Po Box 140156Broken Arrow, OK 74014-0002
Phone 918-492-7722 · Fax 918-357-5959
Authorized official
Mark D Gage
Owner
9186719274
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