Outpatient Surgical Center Of Ponca City, Llc

LBN: Outpatient Surgical Center Of Ponca City, Llc
Outpatient Surgical Center Of Ponca City, Llc is an health care organization with primary practice located at 400 Fairview Ave Suite 50, Ponca City OK 74601-1920. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Outpatient Surgical Center Of Ponca City, Llc can be contacted via phone (580) 762-0695, or through Cowan, Steffi Moon via phone (580) 762-0695.

Contact Information

Primary practice address
400 Fairview Ave Suite 50 Ponca City OK 74601-1920
Phone: (580) 762-0695
Fax: (580) 765-9406
Website:
Map and Directions
Authorized official contact:
Name: Cowan, Steffi Moon
Phone: (580) 762-0695

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 0021 Oklahoma

Profile Details

NPI number 1659337194
LBN Legal business name Outpatient Surgical Center Of Ponca City, Llc
DBA Doing business as
Authorized official Cowan, Steffi Moon
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2006
Last updated Nov 1st, 2010 - about 16 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 1659337194 NPPES
Oklahoma MEDICAID 200037990A

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