# ST. JOHN MEDICAL CENTER- SKILLED NURSING UNIT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386774073
- **Authorized official:** PEGGY WEIGEL (NURSE MANAGER)
- **Authorized official phone:** (918) 744-2432

## Contact information

- **Practice address:** 1923 S UTICA AVE, TULSA, OK 74104-6520
- **Practice address phone:** (918) 744-2432
- **Mailing address:** 1923 S UTICA AVE, TULSA, OK 74104-6520

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 37-5069 | OK | Yes |

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 08/22/2020