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NPI Code Detail

MEDICARE: OKLAHOMA C.A.R.T. ASSOCIATION (OCARTA)

MEDICARE: OKLAHOMA C.A.R.T. ASSOCIATION (OCARTA)
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
1251V00000XVoluntary or Charitable Agency

General Provider Information

NPI Number : 1235578865
Entity Type Code : Organization
Provider Name (Legal Business Name) : OKLAHOMA C.A.R.T. ASSOCIATION (OCARTA)
Provider Business Mailing Address
First Line : 2808 NW 31ST ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73112-7407
Country : US
Telephone Number : 405-848-7555
Fax Number :
Provider Business Practice Location Address
First Line : 2808 NW 31ST ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73112-7407
Country : US
Telephone Number : 405-848-7555
Fax Number :
Authorized Official
Title or Position : OFFICE MANAGER; LEAD GROUP FACILITO
Name : MRS. STEPHANIE LADAWN NEWMAN
Credential : R.S.S.
Telephone Number : 405-923-8395
Provider Enumeration Date : 06/17/2013
Last Update Date : 06/17/2013

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