South Wellness Community Health Clinic
NPI #1235546961 in Oklahoma City, Oklahoma
Provider Information
- NPI Number
- 1235546961
- Entity Type
- Organization
- Organization Name
- South Wellness Community Health Clinic
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANS
- Primary Specialty
- Clinic/Center - Community Health
- Enumeration Date
- Jul 15, 2014
- Last Updated
- May 18, 2015
Practice Location
- Address
- 1122 NE 13TH ST
- Address 2
- ORI 274
- City
- Oklahoma City
- State
- Oklahoma
- ZIP Code
- 73117-1039
- Phone
- (405) 271-5860
Authorized Official
- Name
- BRIAN L MADDY
- Title
- CEO
- Phone
- (405) 271-3932
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Community Health — Community Health |
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