Centurion Health Systems, Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

422 Issued in OK

Legal business name

CENTURION HEALTH SYSTEMS, INC

Doing business as

Mercy Regional of Oklahoma

Practice address

9106 N Garnett Rd
Owasso, OK 74055-4401

Phone

(918) 609-5800

Fax

(918) 609-5799

NPI assigned

Jun 24, 2006

Last updated

May 30, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Duke E Dixon

Title

President

Phone

(918) 609-5800

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mercy Regional of Oklahoma Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432944000000",
    "number": "1073549549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2398",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740559198",
            "telephone_number": "918-609-5800",
            "fax_number": "918-609-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9106 N GARNETT RD",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554401",
            "telephone_number": "918-609-5800",
            "fax_number": "918-609-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURION HEALTH SYSTEMS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2015-05-30",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "DUKE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-609-5800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OK",
            "license": "422",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OK",
            "license": "422",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200097940A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Regional of Oklahoma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David L Cash, O.D.
• Riley Castle
• Codi Nicole Castleberry, PA
• Kyle Cavitt, DC
• CCC of Owasso Inc (Complete Care Chiropractic)
• Vang Youa Chang
• Allena Chapman, RD, LD
• Kambri Chapman
• Childrens Clinic of Owasso
• Chiro Correct

• Ambulance in Owasso, OK
• Providers in Owasso, OK by specialty
• Ambulance in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.