Organization
LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL INC
Active
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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