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1780789339 NPI number — SECURITY HEALTH CARE LLC

NPI Number: 1780789339
Health Care Provider/Practitioner: SECURITY HEALTH CARE LLC

Information about “1780789339” NPI (SECURITY HEALTH CARE LLC) exists in 1780789339 in HTML format HTML  |  1780789339 in plain Text format TXT  |  1780789339 in PDF (Portable Document Format) PDF  |  1780789339 in an XML format XML  formats.

NPI Number : 1780789339 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1780789339",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SECURITY HEALTH CARE LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4554 W. MAIN STREET",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NORMAN",
    "MailingAddressStateName": "OK",
    "MailingAddressPostalCode": "73072-4902",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "405-366-8800",
    "MailingAddressFaxNumber": "405-366-7854",
    "FirstLinePracticeLocationAddress": "201 48TH AVE SW",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NORMAN",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "73072-4902",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "405-366-8800",
    "PracticeLocationAddressFaxNumber": "405-366-7854",
    "EnumerationDate": "09/14/2006",
    "LastUpdateDate": "09/30/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DEROIN",
    "AuthorizedOfficialFirstName": "KRISTY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "VP OF RCM",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "405-943-1144",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "314000000X",
        "TaxonomyName": "Skilled Nursing Facility",
        "LicenseNumber": "NH1410-1410",
        "LicenseNumberStateCode": "OK",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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