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NPI Code Detail

MEDICARE: SSM HEALTH CARE OF OKLAHOMA, INC

MEDICARE: SSM HEALTH CARE OF OKLAHOMA, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184723678
Entity Type Code : Organization
Provider Name (Legal Business Name) : SSM HEALTH CARE OF OKLAHOMA, INC
Provider Business Mailing Address
First Line : PO BOX 269009
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73126-9009
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2129 SW 59TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73119-7024
Country : US
Telephone Number : 405-713-5790
Fax Number : 405-713-5786
Authorized Official
Title or Position : CFO
Name : MR. GREG SIMIA
Credential :
Telephone Number : 405-272-7000
Provider Enumeration Date : 09/21/2006
Last Update Date : 07/08/2011

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