Provider Demographics
NPI:1396797452
Name:OAKDALE HEALTHCARE SERVICES
Entity type:Organization
Organization Name:OAKDALE HEALTHCARE SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:AMOS
Authorized Official - Middle Name:CHIBUIKEM
Authorized Official - Last Name:IWEAJUNWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-557-0235
Mailing Address - Street 1:600 NW 23RD ST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73103-1464
Mailing Address - Country:US
Mailing Address - Phone:405-557-0235
Mailing Address - Fax:405-557-0236
Practice Address - Street 1:600 NW 23RD ST
Practice Address - Street 2:SUITE 106
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73103-1464
Practice Address - Country:US
Practice Address - Phone:405-557-0235
Practice Address - Fax:405-557-0236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies