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Organization
AHS PRYOR HOSPITAL, LLC
Active
Organization
AHS PRYOR HOSPITAL, LLC
Active
Other names
Utica Park Clinic Elliott
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN C. PETROVICH (EVP)
(615) 296-3000
Entity
Organization
Contact information
Practice address
562 S ELLIOTT ST, PRYOR, OK 74361
(918) 824-8000
(918) 825-5505
Mailing address
1 BURTON HILLS BLVD STE 250, NASHVILLE, TN 37215-6195
(615) 296-3000
(615) 296-3227
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
NULL
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/14/2017
Last updated
12/31/2018
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