# AHS TULSA REGIONAL MEDICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oklahoma State University Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164592283
- **Authorized official:** BARBARA MAPP (MANAGER)
- **Authorized official phone:** (918) 579-5835

## Contact information

- **Practice address:** 744 W 9TH ST, TULSA, OK 74127-9020
- **Practice address phone:** (918) 587-2561
- **Mailing address:** 744 W 9TH ST, TULSA, OK 74127-9020
- **Mailing address phone:** (918) 587-2561

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | 2250 | OK | Yes |

## Other

- **Enumeration date:** 11/08/2006
- **Last updated:** 08/22/2020
