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Organization

AHS SOUTHCREST HOSPITAL LLC

Active
Other names
SouthCrest Surgicenter
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN C. PETROVICH C PETROVICH (SVP)
(615) 296-3000
Entity
Organization

Contact information

Practice address
8801 S 101ST EAST AVE, SUITE 160, TULSA, OK 74133-5716
(918) 294-4000
(918) 294-4809
Mailing address
8801 S 101ST EAST AVE, SUITE 160, TULSA, OK 74133-5716
(918) 294-4000
(918) 294-4809

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0063
OK

Other

Enumeration date
08/24/2011
Last updated
08/24/2011
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