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Organization

AHS CUSHING HOSPITAL LLC

Active
Other names
Hillcrest Hospital Cushing
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN C. PETROVICH (EVP, GENERAL COUNSEL)
(615) 296-3594
Entity
Organization

Contact information

Practice address
1027 E CHERRY ST, CUSHING, OK 74023-4101
(918) 225-2915
(918) 225-2517
Mailing address
340 SEVEN SPRINGS WAY STE 100, BRENTWOOD, TN 37027-5697
(615) 296-3594
(918) 225-2517

Taxonomy

Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
2266
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200044190A
OK
Enumeration date
11/09/2006
Last updated
01/07/2025
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