Provider Demographics
NPI:1932505740
Name:HCA HEALTH SERVICES OF OKLAHOMA, INC.
Entity Type:Organization
Organization Name:HCA HEALTH SERVICES OF OKLAHOMA, INC.
Other - Org Name:OKLAHOMA BREAST CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:DAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-271-5911
Mailing Address - Street 1:700 NE 13TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104-5004
Mailing Address - Country:US
Mailing Address - Phone:405-271-5911
Mailing Address - Fax:405-271-6753
Practice Address - Street 1:13509 N MERIDIAN AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-8397
Practice Address - Country:US
Practice Address - Phone:405-755-2273
Practice Address - Fax:405-751-3505
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HCA HEALTH SERVICES OF OKLAHOMA, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-11-06
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0206XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mammography
Yes261QR0207XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile Mammography