Healthcare Provider Details

I. General information

NPI: 1326957754
Provider Name (Legal Business Name): OKLAHOMA STATE DEPARTMENT OF HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2005 W. CHICKASHA AVE., STE 1
CHICKASHA OK
73018
US

IV. Provider business mailing address

1000 NE 10TH ST
OKLAHOMA CITY OK
73117-1207
US

V. Phone/Fax

Practice location:
  • Phone: 405-224-2022
  • Fax: 405-224-4877
Mailing address:
  • Phone: 405-224-2022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name: SHERRY D REED
Title or Position: COMMUNITY HEALTH WORKER
Credential: CHW
Phone: 405-224-2022