Healthcare Provider Details

I. General information

NPI: 1316874167
Provider Name (Legal Business Name): IMMEDIATE CARE OF OKLAHOMA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4350 E WATERLOO RD SUITE 104
EDMOND OK
73034
US

IV. Provider business mailing address

5701 SE 74TH ST STE E
OKLAHOMA CITY OK
73135-1110
US

V. Phone/Fax

Practice location:
  • Phone: 405-600-6869
  • Fax:
Mailing address:
  • Phone: 405-600-6869
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SHERITA BARRETT
Title or Position: DIRECTOR OF RCM
Credential:
Phone: 405-600-6869