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OSU CENTER FOR HEALTH SCIENCES NPI 1053692475

NPI Profile

NPI: 1053692475

Provider Name: OSU CENTER FOR HEALTH SCIENCES

Doing Business As: OSU-AJ MERCY CLINIC ADA

Classification: Clinic/Center - 261Q00000X

Entity Type: Organization

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

Phone: (580) 310-9510

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). OSU CENTER FOR HEALTH SCIENCES NPI is 1053692475. The provider is registered as an organization entity type.
The provider Is Doing Business As Osu-aj Mercy Clinic Ada.

The provider's business location 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

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 261Q00000X Clinic/Center Yes

What is NPI?
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 6/10/2015