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OSU-AJ WILLIAM HERRON
NPI 1104991967
Clinic/Center - Medical Specialty in Idabel, OK

Active since November 21, 2006
1315 S LYNN LN, IDABEL, OK 74745(918) 561-8306(918) 561-5747 Get Directions Write a Review

NPPES record last updated: March 29, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Osu-aj William Herron NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OSU-AJ WILLIAM HERRON (NPI 1104991967) is a healthcare organization registered as a medical specialty in Idabel, Oklahoma and active in the NPI registry since November 2006. The organization lists Eric Polak, Vice President For Admin/finance, as its authorized official.

NPPES Registry Identity

NPI1104991967
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameOSU CENTER FOR HEALTH SCIENCES
Location Address1315 S LYNN LNIdabel, OK 74745-6845
Mailing Address2345 Southwest BlvdTulsa, OK 74107-2705 · (918) 561-8306 · Fax (918) 561-5747
Phone(918) 561-8306
Fax(918) 561-5747
Organization SubpartNo
Authorized OfficialEric PolakVice President For Admin/finance · (918) 561-8422
Enumeration DateNovember 21, 2006
Last NPPES UpdateMarch 29, 2016
✔ NPI 1104991967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
1315 S LYNN LN, Idabel, OK 74745
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Other Names 1

Doing Business AsOsu-aj William Herron

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC.
Surgery
1315 S LYNN LN
IDABEL, OK 74745
McCurtain County (580) 286-2947
MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC
Clinic/Center (Rural Health)
1315 S LYNN LN
IDABEL, OK 74745
McCurtain County (580) 286-2947
WILMA JOY FORSHEE APRN
Nurse Practitioner (Family)
1315 S LYNN LN
IDABEL, OK 74745
McCurtain County (580) 286-3328
CLAIRE CAVINDER PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1315 S LYNN LN
IDABEL, OK 74745
McCurtain County (580) 286-2947

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Osu Center For Health Sciences's NPI number?

The NPI number for Osu Center For Health Sciences is 1104991967. It was assigned to this organization in the NPPES registry on November 21, 2006. The provider is doing business as Osu-Aj William Herron.

Where is Osu Center For Health Sciences located?

Osu Center For Health Sciences is located at 1315 S Lynn Ln, Idabel, OK 74745. The listed phone number is (918) 561-8306.

What is Osu Center For Health Sciences's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Osu Center For Health Sciences was last updated on March 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.