| Oklahoma State University | |
|
1202 W Farm Rd Stillwater OK 74078-2036 | |
| (405) 744-7665 | |
| (405) 744-2136 |
| Full Name | Oklahoma State University |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 1202 W Farm Rd, Stillwater, Oklahoma |
| Authorized Official Name and Position | Jack Henneha (ASSOCIATE DIRECTOR) |
| Authorized Official Contact | 4057447665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oklahoma State University 1202 W Farm Rd Stillwater OK 74078-2036 Ph: (405) 744-7025 | Oklahoma State University 1202 W Farm Rd Stillwater OK 74078-2036 Ph: (405) 744-7665 |
| NPI Number | 1598827776 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 01/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598827776 | NPI | - | NPPES |
| 736017987 | Other | OK | FEDERAL TAX ID |
| 100757330F | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | 8-3015 (Oklahoma) | Primary |
| 333600000X | Pharmacy | (* (Not Available)) | Secondary |
Oca Stillwater Lp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 275 S Perkins Rd, Stillwater, OK 74074 Phone: 405-334-5272 | |
Associates Of Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 608 S Hester St, Stillwater, OK 74074 Phone: 405-377-8000 Fax: 405-377-8040 | |
Comcare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1417 S Western Rd, Stillwater, OK 74074 Phone: 405-470-3223 Fax: 405-470-3224 | |
Osu Center For Health Sciences Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 S Adams St, Stillwater, OK 74074 Phone: 918-561-8306 Fax: 918-561-5747 | |
Group Practice Associates, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 709 S Western Rd, Stillwater, OK 74074 Phone: 405-707-9800 Fax: 405-707-0004 | |
Stillwater Medical Center Authority Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 S Adams St, Stillwater, OK 74074 Phone: 405-743-7300 | |
Comcare Of Stillwater Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1417 S Western Rd, Stillwater, OK 74074 Phone: 405-707-3091 Fax: 405-707-3092 |