Organization Active NPI

Medical Center a.S.C.

  • Ambulatory Surgical Clinic/Center
  • Oklahoma City, OK
National Provider Identifier
1346308863
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
0038 Issued in OK
Legal business name
MEDICAL CENTER A.S.C.
Practice address
701 NE 10TH St
Suite 124
Oklahoma City, OK 73104-5403
Phone
(405) 280-5510
Fax
(405) 280-5248
NPI assigned
Dec 5, 2006
Last updated
Nov 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2009

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

Authorized official

Name
Mrs. Vicki L. Trussell
Title
Administrator
Phone
(405) 280-5826

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 0038 OK Primary

Addresses

Primary practice location

701 NE 10TH St
Suite 124
Oklahoma City, OK 73104-5403

Mailing address

701 NE 10TH St
Suite 124
Oklahoma City, OK 73104-5403
Phone (405) 280-5510

Other identifiers 1

IdentifierTypeStateIssuer
200023310AMedicaidOK

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

701 NE 10th St
Ste 124
Oklahoma City, OK 73104
Phone (405) 280-5510

Dept 960338
Oklahoma City, OK 73196

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257379200000",
    "number": "1346308863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 NE 10TH ST",
            "address_2": "SUITE 124",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045403",
            "telephone_number": "405-280-5510",
            "fax_number": "405-280-5248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 NE 10TH ST",
            "address_2": "SUITE 124",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045403",
            "telephone_number": "405-280-5510",
            "fax_number": "405-280-5248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER A.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2009-11-05",
        "status": "A",
        "authorized_official_last_name": "TRUSSELL",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "405-280-5826",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OK",
            "license": "0038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200023310A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; 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.