SOUTHERN OKLA SURGICAL SERVICES NPI 1922079896

NPI Information

NPI: 1922079896
Provider Name: SOUTHERN OKLA SURGICAL SERVICES

Doing Business As: ARDMORE REGIONAL SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
2002 12TH NW
STE C
ARDMORE, OK
ZIP 73401
Phone: (580) 224-0007
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SOUTHERN OKLA SURGICAL SERVICES is an ambulatory surgical clinic center in Ardmore, OK. SOUTHERN OKLA SURGICAL SERVICES NPI is 1922079896. The provider is registered as an organization entity type.
The provider Is Doing Business As Ardmore Regional Surgery Center.

The provider's business location address is:

2002 12TH NW
STE C
ARDMORE, OK
ZIP 73401
Phone: (580) 224-0007
Fax: (580) 223-7140

The provider's authorized official is J Keith Troop .
The authorized official title is President and has the following contact phone number (580) 224-0007.

The enumeration date for this NPI number is 1/30/2006 and was last updated on 8/22/2020.

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	261QA1903X	Clinic/Center	Ambulatory Surgical	0064	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	10074824A	MEDICAID	OKLAHOMA

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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