HCA HEALTH SERVICES OF OKLAHOMA INC

Provider Demographics

• NPI: 1780631390
• Name: HCA HEALTH SERVICES OF OKLAHOMA INC
• Entity Type: Organization
• Organization Name: HCA HEALTH SERVICES OF OKLAHOMA INC
• Other - Org Name: OU MEDICAL CENTER
• Other - Org Type: Doing Business As
• Authorized Official - Title/Position: CFO
• Authorized Official - First Name: DANIEL
• Authorized Official - Last Name: DAVIS
• Authorized Official - Phone: 405-271-4406
• Mailing Address - Street 1: 700 NE 13TH ST
• Mailing Address - City: OKLAHOMA CITY
• Mailing Address - State: OK
• Mailing Address - Zip Code: 73104-5004
• Mailing Address - Country: US
• Mailing Address - Phone: 405-271-5100
• Mailing Address - Fax: 405-271-6032
• Practice Address - Street 1: 700 NE 13TH ST
• Practice Address - City: OKLAHOMA CITY
• Practice Address - State: OK
• Practice Address - Zip Code: 73104-5004
• Practice Address - Country: US
• Practice Address - Phone: 405-271-5100
• Practice Address - Fax: 405-271-6032
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-05-28
• Last Update Date: 2015-09-21

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	282N00000X	Hospitals	General Acute Care Hospital

Provider Identifiers

State	Identifier ID	ID Type	Issuer
KS	100101410A	Medicaid
KY	01500420	Medicaid
WY	118127100	Medicaid
AZ	194390	Medicaid
MO	012586608	Medicaid
VT	0370093	Medicaid
SC	11194A	Medicaid
NJ	6110100	Medicaid
TX	92419	Other	AMERIGROUP
PA	0019397150002	Medicaid
ND	01511	Medicaid
MN	359398300	Medicaid
TX	072698601	Medicaid
	124070700	Other	DEPT OF LABOR
LA	1766631	Medicaid
FL	911271500	Medicaid
CO	95003729	Medicaid
AK	HS477IP	Medicaid
MS	0220824	Medicaid
AR	138755105	Medicaid
OH	2420446	Medicaid
WA	3021474	Medicaid
MI	IP-30-4726747	Medicaid
	000370093001	Other	BLUE CROSS
GA	000980999X	Medicaid
IA	0585638	Medicaid
SD	129950	Medicaid
CA	XHSP32532	Medicaid
NM	000B0438	Medicaid
MT	0412386	Medicaid
IN	100466840A	Medicaid
OK	100689210U	Medicaid
WI	82323900	Medicaid
AL	OUM0093N	Medicaid
AZ	194390	Medicaid
OH	2420446	Medicaid
MI	IP-30-4726747	Medicaid
	124070700	Other	DEPT OF LABOR
IL	=========002	Medicaid