Southern Oklahoma Anesthesiology, Inc

LBN: Southern Oklahoma Anesthesiology, Inc
Southern Oklahoma Anesthesiology, Inc is an health care organization with primary practice located at 430 N Monte Vista St , Ada OK 74820-4610. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Southern Oklahoma Anesthesiology, Inc can be contacted via phone (580) 421-1160, or through Coleman, Boyce R via phone (580) 272-0485.

Contact Information

Primary practice address
430 N Monte Vista St Ada OK 74820-4610
Phone: (580) 421-1160
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Coleman, Boyce R Doctor of Medicine (MD)
Phone: (580) 272-0485

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 9156 Oklahoma

Profile Details

NPI number 1881914307
LBN Legal business name Southern Oklahoma Anesthesiology, Inc
DBA Doing business as
Authorized official Coleman, Boyce R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 7th, 2010
Last updated Jun 7th, 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 1881914307 NPPES
Oklahoma MEDICAID 100099490-A

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