OKLAHOMA PROTON CENTER LLC NPI 1114408762

NPI Information

NPI: 1114408762
Provider Name: OKLAHOMA PROTON CENTER LLC
Classification: Clinic/Center - 261QX0203X
Entity Type: Organization

Specialization: Oncology, Radiation

CLIA Number: 37D0930747

Address:
5901 W MEMORIAL RD
OKLAHOMA CITY, OK
ZIP 73142
Phone: (918) 798-9160
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OKLAHOMA PROTON CENTER LLC is an oncology and radiation clinic center in Oklahoma City, OK. OKLAHOMA PROTON CENTER LLC NPI is 1114408762. The provider is registered as an organization entity type.

The provider's business location address is:

5901 W MEMORIAL RD
OKLAHOMA CITY, OK
ZIP 73142-015
Phone: (918) 798-9160

The provider's authorized official is David James Raubach .
The authorized official title is Officer and has the following contact phone number (918) 798-9160.

The CLIA number assigned to this NPI record is 37D0930747 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/22/2018 and was last updated on 5/6/2022.

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	261QX0203X	Clinic/Center	Oncology, Radiation			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: 5/5/2024

NPI Synchronization or Removal

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