OSU CENTER FOR HEALTH SCIENCES


Address: 110 Nw 31st St Fl 3, Lawton, OK 73505-6100
Phone: 9185618306

OSU CENTER FOR HEALTH SCIENCES (NPI# 1255964128) 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) 1255964128
Entity Type Organization
Organization Name OSU CENTER FOR HEALTH SCIENCES
Practice Address 110 Nw 31st St Fl 3
Lawton
OK 73505-6100
Mailing Address 2345 Southwest Blvd
Tulsa
OK 74107-2705
Practice Telephone 9185618306
Practice Fax Number 9185615747
Mailing Telephone 9185618306
Mailing Fax Number 9185615747
Enumeration Date 2020-02-19
Last Update Date 2020-02-19
Authorized Official Name ERIC JOHN POLAK (VICE PRESIDENT FOR ADMIN/FINANCE)
Authorized Official Telephone 9185618422
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/Organization Names

Other Name Type Code
OSU-AJ MMG SURGERY Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1689275471 Osu Center for Health Sciences Clinic/Center 1 E Clark Bass Blvd Ste 201, Mcalester, OK 74501-4209 2020-11-06
1427662170 Osu Center for Health Sciences Clinic/Center 802 S Jackson Ave Ste 410, Tulsa, OK 74127-9059 2020-09-01
1154949642 Osu Center for Health Sciences Clinic/Center 140 W 151st St S, Glenpool, OK 74033-4523 2020-07-10
1093341844 Osu Center for Health Sciences Clinic/Center 3201 W Gore Blvd Ste G2, Lawton, OK 73505-6323 2020-03-12
1104458231 Osu Center for Health Sciences Clinic/Center 6501 S Western Ave Ste 101, Oklahoma City, OK 73139-1709 2020-02-06
1447895586 Osu Center for Health Sciences Clinic/Center 3201 W Gore Blvd Ste 201, Lawton, OK 73505-6350 2019-11-13
1952957995 Osu Center for Health Sciences Clinic/Center 10507 E 91st St Ste 550, Tulsa, OK 74133-5590 2019-08-15
1942852694 Osu Center for Health Sciences Clinic/Center 1201 W 6th Ave, Stillwater, OK 74074-4307 2019-07-12
1538639190 Osu Center for Health Sciences Clinic/Center 6465 S. Yale Ave. Suite 514, Tulsa, OK 74136 2018-11-27
1437627031 Osu Center for Health Sciences Clinic/Center 6475 S Yale Ave Ste 202, Tulsa, OK 74136-7819 2018-11-13

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities OSU CENTER FOR HEALTH SCIENCES 1111 W 17th St, Tulsa, OK 74107-1886

Office Location

Street Address 110 NW 31ST ST FL 3
City LAWTON
State OK
Zip Code 73505-6100

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134744006 Angela Janell Smith Case Manager/Care Coordinator 4904 Nw Smith Ave, Lawton, OK 73505 2020-06-16
1295383990 Akeemia Lorene Holder Case Manager/Care Coordinator Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 2019-08-27
1225685480 Healthstat Onsite Clinic Goodyear Vision Center Preventive Medicine 1 Goodyear Blvd, Lawton, OK 73505 2019-08-22
1891285300 Michael Anthony Gray Case Manager/Care Coordinator 2218 Nw 36th St, Lawton, OK 73505 2018-05-10
1841797362 Adeshola T Fatuyi Case Manager/Care Coordinator 7301 Sw Lee 635, Lawton, OK 73505 2018-04-11
1912425539 Heather Shea Morefield Case Manager/Care Coordinator 2712 Sw H Ave, Lawton, OK 73505 2017-09-04
1972031367 Burke Hendricks Emergency Medicine 3401 West Gore Boulevard, Lawton, OH 73505 2017-05-30
1932642279 Helery Vance Peer Specialist 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 2016-11-18
1629523436 Sebrina Sheppard Case Manager/Care Coordinator 3907 Sw Parkridge Blvd., Lawton, OK 73505 2016-08-22
1376913590 David Lee Atauvich Registered Nurse 1515 Lawrie Rd, Lawton, OK 73505 2015-09-30
Find all providers in zip 73505

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
1538785985 Stars and Stripes Therapy Inc. Clinic/Center 713 Sw C Ave Ste A, Lawton, OK 73501-4311 2020-06-22
1093341844 Osu Center for Health Sciences Clinic/Center 3201 W Gore Blvd Ste G2, Lawton, OK 73505-6323 2020-03-12
1447895586 Osu Center for Health Sciences Clinic/Center 3201 W Gore Blvd Ste 201, Lawton, OK 73505-6350 2019-11-13
1558651687 Concentra Health Care Pa Clinic/Center 901 Goodyear Boulevard, Lawton, OK 73505 2011-04-11
1326276189 Breastfeeding Guidance Center of Southwest Oklahoma Clinic/Center 711 Sw D Ave, Suite 207, Lawton, OK 73501-4561 2009-06-30
1982239703 Osu Center for Health Sciences Clinic/Center 3201 W Gore Blvd Ste 300, Lawton, OK 73505-6350 2020-03-12
1427694678 Osu Center for Health Sciences Clinic/Center 102 Nw 31st St, Lawton, OK 73505-6100 2019-11-22
1730742693 Osu Center for Health Sciences Clinic/Center 110 Nw 31st St Fl 2, Lawton, OK 73505-6100 2019-04-17
1497267298 Osu Center for Health Sciences Clinic/Center 5050 Sw Lee Blvd, Lawton, OK 73505-8323 2017-11-02
1487106670 Osu Center for Health Sciences Clinic/Center 5402 Sw Lee Blvd, Lawton, OK 73505-9521 2016-11-04
Find all providers in LAWTON

Competitor

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City LAWTON
Zip Code 73505

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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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