Healthcare Provider Details

I. General information

NPI: 1609811348
Provider Name (Legal Business Name): REGIONAL AIDS INTERCOMMUNITY NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2006
Last Update Date: 02/25/2022
Certification Date: 02/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 NW 23RD ST SUITE 101
OKLAHOMA CITY OK
73103-1464
US

IV. Provider business mailing address

3800 N. CLASSEN BLVD. SUITE 200
OKLAHOMA CITY OK
73118
US

V. Phone/Fax

Practice location:
  • Phone: 405-232-2437
  • Fax: 405-232-2447
Mailing address:
  • Phone: 405-232-2437
  • Fax: 405-232-2447

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. DANIEL GEORGE HARDT II
Title or Position: CFO
Credential:
Phone: 405-232-2437