Organization
BROOKHAVEN HOSPITAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH NOEL PIERCE (CFO)
(918) 438-4257
Entity
Organization
Contact information
Practice address
201 S GARNETT RD, TULSA, OK 74128
(918) 438-4257
(918) 438-0083
Mailing address
201 S GARNETT RD, TULSA, OK 74128-1805
(918) 438-4257
(918) 438-0083
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
2313
OK
283Q00000X
Psychiatric Hospital
Primary
2313
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00401269
—
NM
05
—
0157430
—
SD
05
—
0901223
—
IA
05
—
10026694200
—
NE
05
—
100299900B
—
KS
05
—
100701410A
—
OK
05
—
100701410B
—
OK
05
—
100701410C
—
OK
05
—
1023064300
—
NC
05
—
1023064300
—
WA
05
—
160837125
—
AR
05
—
Q029771
—
TN
Enumeration date
05/26/2006
Last updated
09/13/2021
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