Provider Demographics
NPI:1831174085
Name:OKLAHOMA CITY-COUNTY HEALTH DEPARTMENT
Entity type:Organization
Organization Name:OKLAHOMA CITY-COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:
Authorized Official - Last Name:SLAUGHTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-425-4349
Mailing Address - Street 1:2600 NE 63RD STREET
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73111-8301
Mailing Address - Country:US
Mailing Address - Phone:405-419-4266
Mailing Address - Fax:405-419-4165
Practice Address - Street 1:921 NE 23RD ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73105-7936
Practice Address - Country:US
Practice Address - Phone:405-425-4395
Practice Address - Fax:405-419-4216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-09
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0904XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, Federal
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100749440 DMedicaid
OK100749440AMedicaid
OK100749440BMedicaid
OK100749440CMedicaid