Provider Demographics
NPI:1275702961
Name:BAPTIST HEALTHCARE OF OKLAHOMA
Entity Type:Organization
Organization Name:BAPTIST HEALTHCARE OF OKLAHOMA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF RURAL HEALTH
Authorized Official - Prefix:
Authorized Official - First Name:OSCAR
Authorized Official - Middle Name:KARL
Authorized Official - Last Name:WEINMISTER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:580-548-1367
Mailing Address - Street 1:PO BOX 960252
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:76196-0252
Mailing Address - Country:US
Mailing Address - Phone:580-548-1367
Mailing Address - Fax:580-548-1583
Practice Address - Street 1:700 S MUNCRIEF AT HWY 70
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:OK
Practice Address - Zip Code:73439-0762
Practice Address - Country:US
Practice Address - Phone:580-564-4944
Practice Address - Fax:580-564-4344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-27
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty