Healthcare Provider Details

I. General information

NPI: 1316342512
Provider Name (Legal Business Name): HCA HEALTH SERVICES OF OKLAHOMA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2014
Last Update Date: 01/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 SW 119TH
OKLAHOMA CITY OK
73170
US

IV. Provider business mailing address

700 NE 13TH ST
OKLAHOMA CITY OK
73104-5004
US

V. Phone/Fax

Practice location:
  • Phone: 405-755-2273
  • Fax: 405-751-3505
Mailing address:
  • Phone: 405-271-5911
  • Fax: 405-271-6753

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0206X
TaxonomyMammography Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DAN DAVIS
Title or Position: CFO
Credential:
Phone: 405-271-5911