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Organization

AHS CUSHING HOSPITAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN C. PETROVICH (EVP GENERAL COUNSEL)
(615) 296-3594
Entity
Organization

Contact information

Practice address
1027 E CHERRY ST, CUSHING, OK 74023-4101
(918) 225-2915
(918) 225-2517
Mailing address
340 SEVEN SPRINGS WAY STE 100, BRENTWOOD, TN 37027-5697
(918) 225-2915
(918) 225-2517

Taxonomy

Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
2266
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200044190A
OK
Enumeration date
11/03/2006
Last updated
10/08/2025
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