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
MR. STEPHEN C PETROVICH (SVP)
(615) 296-3000
Entity
Organization
Contact information
Practice address
744 W 9TH ST, TULSA, OK 74127-9020
(918) 587-2561
(918) 599-1750
Mailing address
1 BURTON HILLS BLVD, SUITE 250, NASHVILLE, TN 37215-6293
(615) 296-3000
(615) 296-6011
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
2260
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APPLIED FOR
MEDICARE-APPLIED FOR
OK
Enumeration date
06/20/2008
Last updated
06/20/2008
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