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STATE OF OKLAHOMA NPI 1770544769


NPI Information

NPI: 1770544769
Provider Name: STATE OF OKLAHOMA

Doing Business As: D/B/A OSU-OMULGEE ORTHOTIC, PROSTHETIC AND PEDORTHIC CENTER

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
1801 E 4TH ST
OKMULGEE, OK
ZIP 74447
Phone: (918) 293-5155
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STATE OF OKLAHOMA is a prosthetic orthotic supplier in Okmulgee, OK. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. STATE OF OKLAHOMA NPI is 1770544769. The provider is registered as an organization entity type.
The provider Is Doing Business As D/b/a Osu-omulgee Orthotic, Prosthetic And Pedorthic Center.

The provider's business location address is:

1801 E 4TH ST
OKMULGEE, OK
ZIP 74447-942
Phone: (918) 293-5155
Fax: (918) 293-5407

The provider's authorized official is Shelley Perkins .
The authorized official title is Clinical Director and has the following contact phone number (918) 293-5155.

The enumeration date for this NPI number is 3/29/2006 and was last updated on 8/22/2020.


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
1335E00000XProsthetic/Orthotic Supplier3OKLAHOMAYes
2332BC3200XDurable Medical Equipment & Medical SuppliesCustomized Equipment3OKLAHOMAX
3335E00000XProsthetic/Orthotic Supplier13OKLAHOMAX

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
1NO NUMBEROTHEROKLAHOMAOKLAHOMA REHAB.
2NO NUMBER TO DATEOTHEROKLAHOMAVETERANS ADMIN. HOSP.
3NO NUMBER TO DATEOTHEROKLAHOMACREEK NATION
4NO NUMBEROTHEROKLAHOMALIMBS FOR LIFE
5NO NUMBER TO DATEOTHEROKLAHOMACOMMUNITY CARE HEALTH

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

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