Ou Emerson Teen Clinic

LBN: Board Of Regents Of The University Of Oklahoma -Ou Emerson Teen Clinic
Ou Emerson Teen Clinic is an health care organization with primary practice located at 720 N Dewey Ave , Oklahoma City OK 73102-1214. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Board Of Regents Of The University Of Oklahoma -Ou Emerson Teen Clinic can be contacted via phone (405) 236-8172, or through Maddy, Brian via phone (405) 271-1515.

Contact Information

Primary practice address
720 N Dewey Ave Oklahoma City OK 73102-1214
Phone: (405) 236-8172
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Maddy, Brian
Phone: (405) 271-1515

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1215154794
LBN Legal business name Board Of Regents Of The University Of Oklahoma -Ou Emerson Teen Clinic
DBA Doing business as Ou Emerson Teen Clinic
Authorized official Maddy, Brian
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2007
Last updated Sep 28th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215154794 NPPES
Oklahoma MEDICAID 100744720N

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