Organization
LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY SMITH (SYSTEM DIRECTOR, REV CYCLE SUPPORT)
(918) 502-8000
Entity
Organization
Contact information
Practice address
6655 S YALE AVE, TULSA, OK 74136-3326
(918) 481-4000
Mailing address
PO BOX 707001, TULSA, OK 74170-7001
(918) 502-8000
(918) 502-8002
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100700380B
MEDICAID INPATIENT
OK
05
—
100700380C
—
OK
01
—
100700380D
MEDICAID DVSD
OK
01
—
100700380N
MEDICAID 1500
OK
01
—
CC6784
MEDICARE RAILROAD
OK
Enumeration date
07/11/2005
Last updated
12/17/2025
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