Healthcare Provider Details

I. General information

NPI: 1891899902
Provider Name (Legal Business Name): PLANNED PARENTHOOD OF CENTRAL OKLAHOMA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

619 NW 23RD STREET
OKLAHOMA CITY OK
73103
US

IV. Provider business mailing address

619 NW 23RD STREET
OKLAHOMA CITY OK
73103
US

V. Phone/Fax

Practice location:
  • Phone: 405-528-2157
  • Fax: 405-524-7427
Mailing address:
  • Phone: 405-528-0221
  • Fax: 405-528-1517

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. ANITA S FREAM
Title or Position: CEO
Credential:
Phone: 405-528-0221