Eclipse Mental Health Services

LBN: Dustin O. Hayes, D.O., P.C.
Eclipse Mental Health Services is an health care organization with primary practice located at 817 S Elm Pl Suite C, Broken Arrow OK 74012-5369. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Adult Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. Dustin O. Hayes, D.O., P.C. can be contacted via phone (918) 940-4734, or through Hayes, Dustin O'Leath via phone (918) 940-4734.

Contact Information

Primary practice address
817 S Elm Pl Suite C Broken Arrow OK 74012-5369
Phone: (918) 940-4734
Fax: (918) 940-4737
Website:
Map and Directions
Authorized official contact:
Name: Hayes, Dustin O'Leath Doctor of Osteopathy (DO)
Phone: (918) 940-4734

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 5382 Oklahoma
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1124561113
LBN Legal business name Dustin O. Hayes, D.O., P.C.
DBA Doing business as Eclipse Mental Health Services
Authorized official Hayes, Dustin O'Leath Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 23rd, 2016
Last updated Apr 6th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124561113 NPPES
Oklahoma MEDICAID 200678490A

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