Organization
AHS HILLCREST MEDICAL CENTER LLC
Active
Other names
Hillcrest Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN C. PETROVICH (SVP)
(615) 296-3000
Entity
Organization
Contact information
Practice address
1120 S UTICA AVE, TULSA, OK 74104-4012
(918) 579-1000
(918) 579-7599
Mailing address
1120 S UTICA AVE, TULSA, OK 74104-4012
(918) 579-1000
(918) 579-7599
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
2264
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000370001704
BCBS
OK
05
—
200044210B
—
OK
Enumeration date
11/03/2006
Last updated
12/02/2011
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