Organization
SOUTHCREST LLC
Active
Other names
SouthCrest Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE HOLTSFORD (DIRECTOR, BUSINESS OFFICE SERVICES)
(615) 465-7466
Entity
Organization
Contact information
Practice address
8801 S 101ST EAST AVE, TULSA, OK 74133-5716
(918) 294-4000
(918) 294-4809
Mailing address
8801 S 101ST EAST AVE, TULSA, OK 74133-5707
(918) 294-4000
(918) 294-4809
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
2337
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100697900A
—
OK
Enumeration date
05/14/2006
Last updated
10/06/2009
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