Healthcare Provider Details

I. General information

NPI: 1811931686
Provider Name (Legal Business Name): BONE & JOINT HOSPITAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 N DEWEY AVE
OKLAHOMA CITY OK
73103-2609
US

IV. Provider business mailing address

1111 N DEWEY AVE
OKLAHOMA CITY OK
73103-2609
US

V. Phone/Fax

Practice location:
  • Phone: 405-272-9671
  • Fax: 405-552-9170
Mailing address:
  • Phone: 405-272-9671
  • Fax: 405-552-9170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number2291
License Number StateOK

VIII. Authorized Official

Name: CHRIS D HOWARD
Title or Position: CHARIPERSON
Credential:
Phone: 405-272-7279