Organization
AHS CUSHING HOSPITAL LLC
Active
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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