Organization
ST. JOHN HOME CARE LLC
Active
Other names
Ascension at Home - Tulsa
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL ADKINS (SVP CHIEF LEGAL OFFICER)
(615) 309-5668
Entity
Organization
Contact information
Practice address
4612 S HARVARD AVE STE C, TULSA, OK 74135-2908
(918) 747-7901
(844) 724-7540
Mailing address
10 CADILLAC DR STE 400, BRENTWOOD, TN 37027-1001
(417) 841-4834
(866) 955-8535
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2265
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000377073001
BCBS
OK
05
—
200289130A
—
OK
01
—
74104 0000
CHAMPUS
OK
Enumeration date
10/31/2006
Last updated
04/01/2022
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