Healthcare Provider Details

I. General information

NPI: 1225245855
Provider Name (Legal Business Name): OK-TRANSIT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5350 S WESTERN AVE STE. 207 C
OKLAHOMA CITY OK
73109-4520
US

IV. Provider business mailing address

5350 S WESTERN AVE STE. 207 C
OKLAHOMA CITY OK
73109-4520
US

V. Phone/Fax

Practice location:
  • Phone: 405-631-3090
  • Fax: 405-790-0939
Mailing address:
  • Phone: 405-631-3090
  • Fax: 405-790-0939

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MRS. FELICIA R MACK
Title or Position: PRESIDENT
Credential:
Phone: 405-631-3090