Organization
SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM LLC
Active
Other names
Shadow Mountain Behavioral Health System Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE KISTLER (CEO)
(918) 492-8200
Entity
Organization
Contact information
Practice address
1027 E 66TH PL, TULSA, OK 74136-3701
(918) 293-2552
Mailing address
1027 E 66TH PL, TULSA, OK 74136-3701
(918) 293-2552
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
K8500227
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200006820Q
—
OK
Enumeration date
01/23/2007
Last updated
03/30/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us