Organization Name: | OSU CENTER FOR HEALTH SCIENCES |
NPI Number: | 1023311438 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ERIC POLAK (CFO OSU PHYSICIANS) |
Mailing Address: | 1203 E Ross Byp Suite 1a Tahlequah |
State: | OK US |
Postal Code: | 744644133 |
Phone Number: | 9185618306 |
Fax Number: | 9185615747 |
NPI Enumeration Date: | 12/08/2010 |
NPI Last Update Date: | 03/21/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Medical Specialty |
Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |