Ch Mssp Services Ok LLC
Internal Medicine in Broken Arrow, OK. Organization (NPI-2).
NPI number1386537256
StatusActive
Last updated in NPPESMay 22, 2026
Details
- NPI
- 1386537256
- Entity type
- Organization (NPI-2)
- Legal business name
- Ch Mssp Services Ok LLC
- Organization subpart
- No
- Enumeration date
- May 30, 2025
- Certification date
- May 22, 2026
- Last updated
- May 22, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
4300 W Houston StBroken Arrow, OK 74012-4519
Phone 337-408-0797
Mailing address
5750 Johnston St Ste 205Lafayette, LA 70503-5345
Phone 337-408-0797
Authorized official
Nicole Howard
Sr. Vp Administrative Services
3374080797
Is something wrong?
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