Provider Demographics
NPI:1255884003
Name:OU MEDICAL CENTER
Entity type:Organization
Organization Name:OU MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TEAM LEAD
Authorized Official - Prefix:MS
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:C
Authorized Official - Last Name:HENDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-271-5603
Mailing Address - Street 1:940 NE 13TH STREET STE 1360
Mailing Address - Street 2:
Mailing Address - City:OKC
Mailing Address - State:OK
Mailing Address - Zip Code:73104
Mailing Address - Country:US
Mailing Address - Phone:405-271-4407
Mailing Address - Fax:407-271-6637
Practice Address - Street 1:940 NE 13TH ST STE 1360
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-5008
Practice Address - Country:US
Practice Address - Phone:405-271-4603
Practice Address - Fax:405-271-6637
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OUMC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-07-28
Last Update Date:2016-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital