Healthcare Provider Details

I. General information

NPI: 1295962520
Provider Name (Legal Business Name): HEALTHCOMP LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2009
Last Update Date: 01/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 S BOULEVARD SUITE A-2
EDMOND OK
73013-5486
US

IV. Provider business mailing address

3500 S BOULEVARD SUITE A-2
EDMOND OK
73013-5486
US

V. Phone/Fax

Practice location:
  • Phone: 405-340-5100
  • Fax: 405-340-5109
Mailing address:
  • Phone: 405-340-5100
  • Fax: 405-340-5109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. BENSON W ALALI
Title or Position: PRESIDENT
Credential:
Phone: 405-340-5100