OSU CENTER FOR HEALTH SCIENCES (OSU-AJ MERCY CLINIC ADA) - NPI NUMBER 1053692475

Summary

Provider Name: OSU CENTER FOR HEALTH SCIENCES (OSU-AJ MERCY CLINIC ADA)

NPI Number: 1053692475

NPI Type: Organization

Clasification: Clinic/Center (261Q00000X)

Address:
530 N MONTE VISTA ST
SUITE A
ADA, OK
ZIP 74820

Phone Number: (580) 310-9510



Detailed Information

OSU CENTER FOR HEALTH SCIENCES is a clinic/center in Ada, OK. The provider is 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). The assigned NPI number for this provider is 1053692475 and is registered as an organization entity type.
The provider Is Doing Business As Osu-aj Mercy Clinic Ada.

The provider's business address is:

530 N MONTE VISTA ST
SUITE A
ADA, OK
ZIP 74820-675
Phone: (580) 310-9510

The provider's authorized official is Eric Polak .
The authorized official title is Cfo Osu Physicians and has the following contact phone number (918) 561-8422.

The enumeration date for this NPI number is 8/30/2011 and was last updated on 8/30/2011.

Map - Location of Practice




This page was last updated on: 5/13/2015

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