Eclipse Mental Health Services
LBN: Dustin O. Hayes, D.O., P.C.
Eclipse Mental Health Services is an health care organization with primary practice located at 817 S Elm Pl Suite C, Broken Arrow OK 74012-5369. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Adult Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty.
Dustin O. Hayes, D.O., P.C. can be contacted via phone (918) 940-4734, or through Hayes, Dustin O'Leath via phone (918) 940-4734.
Contact Information
Primary practice address
817 S Elm Pl Suite C
Broken Arrow OK 74012-5369
Phone: (918) 940-4734
Fax: (918) 940-4737
Website:
Authorized official contact:
Name: Hayes, Dustin O'Leath Doctor of Osteopathy (DO)
Phone: (918) 940-4734
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 5382 | Oklahoma |
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X |
Profile Details
| NPI number | 1124561113 |
|---|---|
| LBN Legal business name | Dustin O. Hayes, D.O., P.C. |
| DBA Doing business as | Eclipse Mental Health Services |
| Authorized official | Hayes, Dustin O'Leath Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 23rd, 2016 |
| Last updated | Apr 6th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124561113 | NPPES |
| Oklahoma | MEDICAID | 200678490A |
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