Provider Demographics
NPI:1811753502
Name:NATIONAL PIKE HEALTH CENTER, INC
Entity type:Organization
Organization Name:NATIONAL PIKE HEALTH CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHNSON
Authorized Official - Middle Name:
Authorized Official - Last Name:OWOYEMI
Authorized Official - Suffix:
Authorized Official - Credentials:M SC
Authorized Official - Phone:410-744-8100
Mailing Address - Street 1:10400 VINEYARD BLVD STE G100
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-3800
Mailing Address - Country:US
Mailing Address - Phone:410-744-8100
Mailing Address - Fax:410-744-2530
Practice Address - Street 1:10400 VINEYARD BLVD STE G100
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-3800
Practice Address - Country:US
Practice Address - Phone:410-744-8100
Practice Address - Fax:410-744-2530
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NATIONAL PIKE HEALTH CENTER, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health