Healthcare Provider Details

I. General information

NPI: 1033229240
Provider Name (Legal Business Name): SURGICAL HOSPITAL OF OKLAHOMA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 12/21/2022
Certification Date: 12/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 SOUTHEAST 59TH
OKLAHOMA CITY OK
73129-3616
US

IV. Provider business mailing address

100 SOUTHEAST 59TH
OKLAHOMA CITY OK
73129-3616
US

V. Phone/Fax

Practice location:
  • Phone: 405-635-3027
  • Fax: 405-616-7049
Mailing address:
  • Phone: 405-635-3027
  • Fax: 405-616-7049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number2338
License Number StateOK

VIII. Authorized Official

Name: SHELDON SCOTT SPENCE
Title or Position: ASSISTANT CFO
Credential:
Phone: 580-754-3169