| Oklahoma Healthcare Provider Solutions, Pllc | |
|
1116 Caines Hill Rd # 73034 Edmond OK 73034-2317 | |
| (405) 942-3737 | |
| (405) 942-3873 |
| Full Name | Oklahoma Healthcare Provider Solutions, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1116 Caines Hill Rd # 73034, Edmond, Oklahoma |
| Authorized Official Name and Position | Julie St John Mahaney (PRESIDENT) |
| Authorized Official Contact | 4059423737 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oklahoma Healthcare Provider Solutions, Pllc 1116 Caines Hill Rd # 73034 Edmond OK 73034-2317 Ph: (405) 942-3737 | Oklahoma Healthcare Provider Solutions, Pllc 1116 Caines Hill Rd # 73034 Edmond OK 73034-2317 Ph: (405) 942-3737 |
| NPI Number | 1831843218 |
|---|---|
| Provider Enumeration Date | 02/04/2022 |
| Last Update Date | 03/01/2022 |
| Medicare PECOS PAC ID | 2668851866 |
|---|---|
| Medicare Enrollment ID | O20220617001725 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831843218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Julie St John Mahaney |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841679701 PECOS PAC ID: 5890002711 Enrollment ID: I20180703002125 |
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