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Oklahoma State Deptartment of Health — NPI 1477009090, Perry, OK | NPI Central

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NPI 1477009090

OrganizationActive

Oklahoma State Deptartment of Health

NPI 1477009090 · Public Health or Welfare Agency · Perry, OK

Provider details

NPI number: 1477009090
Entity type: Organization
Primary specialty: Public Health or Welfare AgencyAgencies
Organization subpart: No
Authorized official: Jordan Bolay, Speech Pathologist(580) 216-4321
License: 4013 (OK)

Specialties & taxonomies

Public Health or Welfare AgencyPrimary251K00000XLicense 4013 (OK)
Agencies

Practice location

804 N. 7th St

Perry, OK 73077

Phone: (580) 216-4321

Approximate (ZIP-level) locationGet directions

More OK providers

Mailing address

804 N 7th St

Perry, OK 73077-4230

Registry dates

Enumerated: 2016-09-01
Last updated: 2016-09-01

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.