Provider Demographics
NPI:1730153511
Name:SSM HEALTH BUSINESSES
Entity type:Organization
Organization Name:SSM HEALTH BUSINESSES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT PATIENT CARE SERVICE
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWEITZER
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, MS
Authorized Official - Phone:608-778-2146
Mailing Address - Street 1:601 NW 11TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73103-2415
Mailing Address - Country:US
Mailing Address - Phone:405-808-2504
Mailing Address - Fax:
Practice Address - Street 1:601 NW 11TH ST STE 200
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73103-2415
Practice Address - Country:US
Practice Address - Phone:405-231-1200
Practice Address - Fax:405-231-1222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-16
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7235251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100260450BMedicaid
OK377035AMedicare Oscar/Certification