NPIMap

Organization Active NPI

Osu Center for Health Sciences

Doing business as Osu-Aj Cleveland Area Hospital-ER

  • Clinic/Center
  • Cleveland, OK
National Provider Identifier
1255107017
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
OSU CENTER FOR HEALTH SCIENCES
Doing business as
Osu-Aj Cleveland Area Hospital-ER
Practice address
1401 W Pawnee St
Cleveland, OK 74020-3033
Phone
(918) 561-8306
Fax
(918) 280-1917
NPI assigned
Dec 1, 2023
Last updated
Dec 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Authorized official

Name
Eric John Polak
Title
Vice President of Admin/Finance
Phone
(918) 561-8422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

1401 W Pawnee St
Cleveland, OK 74020-3033

Mailing address

700 N Greenwood Ave
North Hall RM. 372
Tulsa, OK 74106-0702
Phone (918) 561-8306

Other names 1

  • OSU-AJ CLEVELAND AREA HOSPITAL-ER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Oklahoma State University221 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1255107017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N GREENWOOD AVE",
            "address_2": "NORTH HALL RM. 372",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741060702",
            "telephone_number": "918-561-8306",
            "fax_number": "918-280-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W PAWNEE ST",
            "city": "CLEVELAND",
            "state": "OK",
            "postal_code": "740203033",
            "telephone_number": "918-561-8306",
            "fax_number": "918-280-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSU CENTER FOR HEALTH SCIENCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "POLAK",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "VICE PRESIDENT OF ADMIN/FINANCE",
        "authorized_official_telephone_number": "918-561-8422"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OSU-AJ CLEVELAND AREA HOSPITAL-ER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.