OUTPATIENT SURGICAL CENTER OF PONCA CITY LLC NPI 1659337194

NPI Information

NPI: 1659337194
Provider Name: OUTPATIENT SURGICAL CENTER OF PONCA CITY, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
400 FAIRVIEW AVE
SUITE 50
PONCA CITY, OK
ZIP 74601
Phone: (580) 762-0695
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OUTPATIENT SURGICAL CENTER OF PONCA CITY, LLC is an ambulatory surgical clinic center in Ponca City, OK. OUTPATIENT SURGICAL CENTER OF PONCA CITY, LLC NPI is 1659337194. The provider is registered as an organization entity type.

The provider's business location address is:

400 FAIRVIEW AVE
SUITE 50
PONCA CITY, OK
ZIP 74601-920
Phone: (580) 762-0695
Fax: (580) 765-9406

The provider's authorized official is Steffi Moon Cowan .
The authorized official title is Administrator and has the following contact phone number (580) 762-0695.

The enumeration date for this NPI number is 4/25/2006 and was last updated on 11/1/2010.

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	261QA1903X	Clinic/Center	Ambulatory Surgical	0021	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	200037990A	MEDICAID	OKLAHOMA
2	800522379	MEDICARE PIN	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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