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OSU-AJ HOMESTEAD MEDICAL CLINIC-GLENPOOL
NPI 1699216572
Clinic/Center in Glenpool, OK

Active since March 13, 2017
550 W. 125TH PLACE SOUTH, SUITE 200, GLENPOOL, OK 74033(918) 561-8306(918) 561-5747 Get Directions Write a Review

NPPES record last updated: February 27, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 27, 2020, Mar 13, 2017 (2 updates tracked since 2017).

About Osu-aj Homestead Medical Clinic-glenpool NPPES

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

OSU-AJ HOMESTEAD MEDICAL CLINIC-GLENPOOL (NPI 1699216572) is a healthcare organization registered as a clinic/center in Glenpool, Oklahoma and active in the NPI registry since March 2017. The organization lists Eric Polak, Vice President For Admin/finance, as its authorized official.

NPPES Registry Identity

NPI1699216572
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameOSU CENTER FOR HEALTH SCIENCES
Location Address550 W. 125TH PLACE SOUTH, SUITE 200Glenpool, OK 74033-0000
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 DateMarch 13, 2017
Last NPPES UpdateFebruary 27, 20202 updates tracked since enumeration
✔ NPI 1699216572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

550 W. 125TH PLACE SOUTH, Glenpool, OK 74033
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Other Names 1

Doing Business AsOsu-aj Homestead Medical Clinic-glenpool

Frequently Asked Questions

What is OSU CENTER FOR HEALTH SCIENCES's NPI number?

The NPI number assigned to this healthcare provider is 1699216572, enumerated as an "organization" on March 13, 2017.

Where is the provider located?

The provider is located at 550 W. 125TH PLACE SOUTH SUITE 200 GLENPOOL, OK 74033 and the phone number is (918) 561-8306.

What is the provider's specialty?

Clinic/Center with taxonomy code 261Q00000X.