EASTERN OKLAHOMA COUNTY TECHNOLOGY NPI 1649392457

NPI Information

NPI: 1649392457
Provider Name: EASTERN OKLAHOMA COUNTY TECHNOLOGY

Doing Business As: EOC SR ADULT SERVICES

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
4601 N CHOCTAW RD
CHOCTAW, OK
ZIP 73020
Phone: (405) 390-4400
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EASTERN OKLAHOMA COUNTY TECHNOLOGY is an adult day care clinic center in Choctaw, OK. EASTERN OKLAHOMA COUNTY TECHNOLOGY NPI is 1649392457. The provider is registered as an organization entity type.
The provider Is Doing Business As Eoc Sr Adult Services.

The provider's business location address is:

4601 N CHOCTAW RD
CHOCTAW, OK
ZIP 73020-017
Phone: (405) 390-4400
Fax: (405) 390-6637

The provider's authorized official is Daryl A Crusoe .
The authorized official title is Business Manager and has the following contact phone number (405) 390-6603.

The enumeration date for this NPI number is 4/4/2007 and was last updated on 6/25/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA0600X	Clinic/Center	Adult Day Care	DC5505-5505	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100682160B	MEDICAID	OKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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