OKLAHOMA STATE DEPARTMENT OF HEALTH


Address: 1000 Ne 10th St, Oklahoma City, OK 73117-1207
Phone: 4052719663

OKLAHOMA STATE DEPARTMENT OF HEALTH (NPI# 1134246259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134246259
Entity Type Organization
Organization Name OKLAHOMA STATE DEPARTMENT OF HEALTH
Practice Address 1000 Ne 10th St
Oklahoma City
OK 73117-1207
Practice Telephone 4052719663
Practice Fax Number 4052711728
Mailing Telephone 4052719663
Mailing Fax Number 4052711728
Enumeration Date 2007-03-23
Last Update Date 2013-07-30
Authorized Official Name DR. TERRY CLINE (COMMISSIONER OF HEALTH)
Authorized Official Telephone 4052714200
Authorized Official Credential PH.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OK 100728660A 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1184168643 Oklahoma State Department of Health Clinic/Center 1000 Ne 10th St, Oklahoma City, OK 73117-1207 2016-12-16
1629472998 Oklahoma State Department of Health Clinic/Center 1010 Sw Sheridan Rd, Lawton, OK 73505-1531 2014-10-15
1710132782 Oklahoma State Department of Health Clinic/Center 1000 Ne 10th St, Oklahoma City, OK 73117-1299 2008-11-18
1174790513 Oklahoma State Department of Health Clinical Medical Laboratory 1000 Ne 10th St, Oklahoma City, OK 73117-1299 2008-05-14
1992822241 Oklahoma State Department of Health Case Management 1000 Ne 10th St, Oklahoma City, OK 73117-1207 2007-03-23
1699892869 Oklahoma State Department of Health Clinic/Center 1000 Ne 10th St, Oklahoma City, OK 73117-1207 2007-03-23
1477670529 Oklahoma State Department of Health Clinical Medical Laboratory 1000 Ne 10th St, Oklahoma City, OK 73117-1299 2007-03-23
1487771671 Oklahoma State Department of Health Clinic/Center 1000 Ne 10th St, Oklahoma City, OK 73117-1207 2007-03-23
1790802882 Oklahoma State Department of Health Case Management 1000 Ne 10th St, Oklahoma City, OK 73117-1207 2007-03-23
1629195722 Oklahoma State Department of Health Clinic/Center 1000 Ne 10th St, Oklahoma City, OK 73117-1207 2007-03-23

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities OKLAHOMA STATE DEPARTMENT OF HEALTH 1000 Ne Tenth St Ste 305, Oklahoma City, OK 73117-1207

Office Location

Street Address 1000 NE 10TH ST
City OKLAHOMA CITY
State OK
Zip Code 73117-1207

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316064868 Edd D Rhoades Jr. Pediatrics 1000 Ne 10th St, Oklahoma City, OK 73117-1207 2007-03-22
1316580798 Tamela Hamilton Internal Medicine 1000 Ne 10th St, Oklahoma City, OK 73117-1207 2019-10-18
1033616792 Hilary Christine Miller Nurse Practitioner 1000 Ne 10th St, Oklahoma City, OK 73117 2018-04-10
1184168643 Oklahoma State Department of Health Clinic/Center 1000 Ne 10th St, Oklahoma City, OK 73117-1207 2016-12-16
1053855056 Michele Sarah Sterin Nurse Practitioner 1000 Ne 10th St, Oklahoma City, OK 73117-1207 2016-12-09
1740735299 Jeff Meadows Speech-Language Pathologist 1000 Ne 10th St, Oklahoma City, OK 73117-1207 2016-08-24
1760830616 Tina Rochelle Johnson Registered Nurse 1000 Ne 10th St, Oklahoma City, OK 73117-1207 2016-06-01
1811345754 Janice Mouser Registered Nurse 1000 Ne 10th St, Oklahoma City, OK 73117-1207 2016-06-01
1306139522 Labetta Joyce Wallenmeyer Nurse Practitioner 1000 Ne 10th St, Oklahoma City, OK 73117-1207 2011-05-20
1174753891 Rachelle Lynette Mackey Nurse Practitioner 1000 Ne 10th St, Oklahoma City, OK 73117-1207 2009-07-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922623271 Katelyn Gerth Student in an Organized Health Care Education/Training Program University of Oklahoma College of Medicine, 800 Stanton L. Young Blvd, Oklahoma City, OK 73117 2020-06-12
1114401387 Northstar Counseling Associates, LLC Counselor 4540 E Reno Ave, Del City, OK 73117 2018-09-24
1801300710 Kenneth Belyeu Peer Specialist 625 N Nebraska, Okc, OK 73117 2017-11-30
1215483029 Brian Behnum Minavi Dentist 1201 N. Stonewall Ave., Oklahoma City, OK 73117 2016-08-31
1649631409 April Ajanwachukwu Social Worker 1309 N Nebraska Ave, Oklahoma City, OK 73117 2016-03-08
1518340405 Shachi Shah Dentist 1201 N Stonewall Ave # 544n, Oklahoma City, OK 73117 2015-07-09
1063829067 Lauren Marie Pierce Speech-Language Pathologist 1200 N. Stonewall Ave, Ahb 1058, Oklahoma City, OK 73117 2014-07-22
1306195235 Rachel Devecchio Case Manager/Care Coordinator 1300 Ne 13th St, Oklahoma City, OK 73117 2012-09-06
1265780837 Tiffany Dawn Stokely Counselor 1701 E Park Pl, Oklahoma, OK 73117 2012-08-29
1689935645 Everett House Behavioral Analyst 1100 Ne 15th St, Oklahoma Cituy, OK 73117 2012-06-06
Find all providers in zip 73117

Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235757071 Equality Health Group LLC Clinic/Center 4301 Nw 63rd St Ste 109, Oklahoma City, OK 73116-1548 2020-07-08
1104458231 Osu Center for Health Sciences Clinic/Center 6501 S Western Ave Ste 101, Oklahoma City, OK 73139-1709 2020-02-06
1144882325 Focused Adult LLC Clinic/Center 5900 Mosteller Dr Unit 3, Oklahoma City, OK 73112-4640 2019-07-08
1518460047 Revive Clinic LLC Clinic/Center 13316 S Western Ave Ste F, Oklahoma City, OK 73170-7309 2018-03-12
1881144095 Osu Center for Health Sciences Clinic/Center 9821 S May Ave, Suite B, Oklahoma City, OK 73159-7042 2016-10-12
1760884886 Oklahoma Neurodiagnostics, LLC Clinic/Center 5350 S Western Ave Ste 732, Oklahoma City, OK 73109-4535 2014-09-19
1396151171 Board of Regents of The Univ of Okla-stephenson Specialty Pharmacy Clinic/Center 800 Ne 10th St Ste 1044, Oklahoma City, OK 73104-5418 2014-07-01
1023354842 Amattco LLC Clinic/Center 3705 West Memorial Rd Suite 601, Oklahoma City, OK 73134 2012-12-26
1932462603 Precision Health Services Inc/urgent Care Clinic/Center 7250 Nw Expressway Ste 202, Oklahoma City, OK 73132-1522 2012-06-19
1578855409 Anibal Avila Md Professional Corporation PC Clinic/Center 1111 Sw 44th St, Oklahoma City, OK 73109-3601 2011-05-11
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Competitor

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City OKLAHOMA CITY
Zip Code 73117

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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