Organization
AHS PRYOR HOSPITAL, LLC
Active
Other names
Utica Park Clinic Elliott
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN C. PETROVICH (EVP)
(615) 296-3000
Entity
Organization
Contact information
Practice address
562 S ELLIOTT ST, PRYOR, OK 74361
(918) 824-8000
(918) 825-5505
Mailing address
1 BURTON HILLS BLVD STE 250, NASHVILLE, TN 37215-6195
(615) 296-3000
(615) 296-3227
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/14/2017
Last updated
12/31/2018
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