Healthcare Provider Details

I. General information

NPI: 1144278920
Provider Name (Legal Business Name): SEMINOLE HEALTH CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 W WRANGLER BLVD
SEMINOLE OK
74868-1917
US

IV. Provider business mailing address

1266 PAYSPHERE CIR
CHICAGO IL
60674-0012
US

V. Phone/Fax

Practice location:
  • Phone: 405-303-4000
  • Fax: 405-303-4150
Mailing address:
  • Phone: 877-238-2363
  • Fax: 405-917-0331

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL SCHUSTER
Title or Position: PRESIDENT
Credential:
Phone: 405-917-0300