Provider Demographics
NPI:1205887916
Name:HCA HEALTH SERVICES OF OKLAHOMA, INC.
Entity type:Organization
Organization Name:HCA HEALTH SERVICES OF OKLAHOMA, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:LAVAUGHN
Authorized Official - Middle Name:
Authorized Official - Last Name:CAREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-359-5530
Mailing Address - Street 1:1 S BRYANT AVE
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-6309
Mailing Address - Country:US
Mailing Address - Phone:405-341-6100
Mailing Address - Fax:405-359-5500
Practice Address - Street 1:1 S BRYANT AVE
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-6309
Practice Address - Country:US
Practice Address - Phone:405-341-6100
Practice Address - Fax:405-359-5500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-15
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100697940AMedicaid
OK370148001OtherBLUE CROSS
NE62175765500Medicaid
MS04338300Medicaid
WI80632600Medicaid
TX072687901Medicaid
LA1703222Medicaid
PA01836736Medicaid
OH0376267Medicaid
IA0572768Medicaid
IL621757655001Medicaid
MO016104507Medicaid
KS200003680AMedicaid
621757655OtherTRICARE- ACUTE
AZ941262Medicaid
AR149055105Medicaid
166280900OtherDEPT OF LABOR
CO75473267Medicaid
ALEDM0148NMedicaid
KS200003680AMedicaid