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Osu Center for Health Sciences

Organization Active NPI Clinic/Center · Kansas, OK

NPI 1962029819 · NPPES record last updated Jun 26, 2020

Key facts

NPI
1962029819
Entity type
Organization (NPI type 2)
Primary specialty
Clinic/Center 261Q00000X
Legal business name
OSU CENTER FOR HEALTH SCIENCES
Practice address
1261 E Tulsa Ave
Kansas, OK 74347-7026
Phone
(918) 561-8306
Fax
(918) 561-5747
NPI assigned
Jun 26, 2020
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 23

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Oklahoma State University (223 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Yes

Addresses

Primary practice location

1261 E Tulsa Ave
Kansas, OK 74347-7026

Mailing address

2345 Southwest Blvd
Tulsa, OK 74107-2705
Phone (918) 561-8306

Other names

  • OSU-AJ KANSAS MEDICAL CLINIC Doing business as

Other providers in Kansas, OK

All providers in Kansas, OK · Clinic/Center in Oklahoma

Sources for this page

Verify at the official NPI Registry.