Provider Demographics
NPI:1881212504
Name:EQUALITY HEALTH GROUP FOUNDATION
Entity Type:Organization
Organization Name:EQUALITY HEALTH GROUP FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:C
Authorized Official - Last Name:TURPIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-761-2762
Mailing Address - Street 1:6525 N MERIDIAN AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116-1411
Mailing Address - Country:US
Mailing Address - Phone:405-761-2762
Mailing Address - Fax:405-561-5960
Practice Address - Street 1:4301 NW 63RD ST STE 109
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-1548
Practice Address - Country:US
Practice Address - Phone:405-761-2762
Practice Address - Fax:405-561-5960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-09
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center