Organization
AHS CUSHING HOSPITAL LLC
Active
Other names
Hillcrest Regional Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY DUBOIS (CEO)
(918) 225-8150
Entity
Organization
Contact information
Practice address
1223 E CHERRY ST, CUSHING, OK 74023-4201
(918) 225-2915
(918) 225-2517
Mailing address
1223 E CHERRY ST, CUSHING, OK 74023-4201
(918) 225-2915
(918) 225-2517
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7236
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200044190B
—
OK
Enumeration date
08/15/2006
Last updated
01/13/2010
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