Organization
ST. JOHN BROKEN ARROW, INC
Active
Parent organization
ST. JOHN HEALTH SYSTEM, INC.
Other names
St. John Broken Arrow, Ascension St. John Jenks
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. JOHN HEALTH SYSTEM, INC.
Authorized official
MATT ADAMS (CEO)
(918) 994-8100
Entity
Organization
Contact information
Practice address
1000 W BOISE CIR, BROKEN ARROW, OK 74012-4900
(918) 994-8100
(918) 994-8199
Mailing address
1000 W BOISE CIR, BROKEN ARROW, OK 74012-4900
(918) 994-8100
(918) 994-8199
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
2380
OK
282N00000X
General Acute Care Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
370235
MEDICARE CCN
—
Enumeration date
08/24/2009
Last updated
10/02/2024
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