Provider Demographics
NPI:1235578865
Name:OKLAHOMA C.A.R.T. ASSOCIATION (OCARTA)
Entity Type:Organization
Organization Name:OKLAHOMA C.A.R.T. ASSOCIATION (OCARTA)
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER; LEAD GROUP FACILITO
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:LADAWN
Authorized Official - Last Name:NEWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RSS
Authorized Official - Phone:405-923-8395
Mailing Address - Street 1:2808 NW 31ST ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-7407
Mailing Address - Country:US
Mailing Address - Phone:405-848-7555
Mailing Address - Fax:
Practice Address - Street 1:2808 NW 31ST ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-7407
Practice Address - Country:US
Practice Address - Phone:405-848-7555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-17
Last Update Date:2013-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable