Provider Demographics
NPI:1922305960
Name:OKLAHOMA MEDICAL RESEARCH FOUNDATION
Entity Type:Organization
Organization Name:OKLAHOMA MEDICAL RESEARCH FOUNDATION
Other - Org Name:MS CENTER OF EXCELLENCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXEC VP AND COO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-271-7410
Mailing Address - Street 1:825 NE 13TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104-5005
Mailing Address - Country:US
Mailing Address - Phone:405-271-7410
Mailing Address - Fax:405-271-8797
Practice Address - Street 1:820 NE 15TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-4602
Practice Address - Country:US
Practice Address - Phone:405-271-6242
Practice Address - Fax:405-271-2887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-25
Last Update Date:2011-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty