Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
ST JOHN MEDICAL CENTER INC
Active
Organization
ST JOHN MEDICAL CENTER INC
Active
Other names
Bernsen Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
SR. M. THERESE GOTTSCHALK (PRESIDENT/CHIEF EXECUTIVE OFFICER)
(918) 744-2180
Entity
Organization
Contact information
Practice address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 744-2345
Mailing address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 744-2345
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
2265
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000370114001
BCBS OF OK
OK
05
—
100699400A
—
OK
01
—
74104 0000
CHAMPUS
OK
Enumeration date
10/02/2006
Last updated
11/10/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up