NPIMap

Organization Active NPI

Osu University Health Services

  • Student Health Clinic/Center
  • Stillwater, OK
National Provider Identifier
1881639367
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
OSU UNIVERSITY HEALTH SERVICES
Practice address
1202 W Farm Rd
Stillwater, OK 74078-2000
Phone
(405) 744-7665
Fax
(405) 744-2059
NPI assigned
Jun 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Authorized official

Name
Mr. Jack Henneha
Title
Associate Director
Phone
(405) 744-7665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

1202 W Farm Rd
Stillwater, OK 74078-2000

Mailing address

1202 W Farm Rd
Stillwater, OK 74078-2000
Phone (405) 744-7665

Other names 1

  • OSU Student Health Center Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Oklahoma State University223 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

Locations

316 Student Union Hall
Stillwater, OK 74078
Phone (405) 269-6682

14002 E 21st St
Ste 1130
Tulsa, OK 74134
Phone (918) 439-1200

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1881639367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 W FARM RD",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740782000",
            "telephone_number": "405-744-7665",
            "fax_number": "405-744-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 W FARM RD",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740782000",
            "telephone_number": "405-744-7665",
            "fax_number": "405-744-2059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSU UNIVERSITY HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "HENNEHA",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR",
        "authorized_official_telephone_number": "405-744-7665",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OSU Student Health Center",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "OSU Student Health Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Stillwater, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.