Osu Country Club Garden Pediatrics

LBN: State Of Oklahoma - Osu Center For Health Sciences College Of Osteopat
Osu Country Club Garden Pediatrics is an health care organization with primary practice located at 446 W Latimer St , Tulsa OK 74106-5106. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. State Of Oklahoma - Osu Center For Health Sciences College Of Osteopat can be contacted via phone (918) 594-8920, or through Wilson, Rebecca via phone (918) 561-8322.

Contact Information

Primary practice address
446 W Latimer St Tulsa OK 74106-5106
Fax: (918) 594-8926
Website:
Authorized official contact:
Name: Wilson, Rebecca

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1174684385
LBN Legal business name State Of Oklahoma - Osu Center For Health Sciences College Of Osteopat
DBA Doing business as Osu Country Club Garden Pediatrics
Authorized official Wilson, Rebecca
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2006
Last updated Jun 25th, 2008 - about 16 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 1174684385 NPPES
Oklahoma MEDICAID WCDMB

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