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Organization

AHS TULSA REGIONAL MEDICAL CENTER LLC

Active
Parent organization
ARDENT HEALTH SERVICES LLC
Other names
Oklahoma State University Medical Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
ARDENT HEALTH SERVICES LLC
Authorized official
BARBARA MAPP (DIRECTOR BUSINESS SERVICES)
(918) 579-5835
Entity
Organization

Contact information

Practice address
744 W 9TH ST, TULSA, OK 74127-9020
(918) 579-5836
Mailing address
744 W 9TH ST, TULSA, OK 74127-9020
(918) 587-2561

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
2260
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000370078001
BLUE CROSS PROV NUMBER
OK
05
010851509
MO
05
101266593 0001
PA
05
200048610A
OK
01
370078
STERLING OPTION 1
OK
01
370078B000000
TRAILBLAZER UND. ALIENS
OK
01
611043400
DEPARTMENT OF LABOR
OK
01
6470825
AETNA
OK
Enumeration date
12/17/2005
Last updated
09/24/2008
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