Organization
AHS CUSHING HOSPITAL LLC
Active
Parent organization
AHS MEDICAL HOLDINGS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AHS MEDICAL HOLDINGS LLC
Authorized official
STEPHEN C PETROVICH (SVP)
(615) 296-3000
Entity
Organization
Contact information
Practice address
1027 E CHERRY ST, CUSHING, OK 74023-4101
(918) 225-8300
(918) 225-8383
Mailing address
1 BURTON HILLS BLVD, SUITE 250, NASHVILLE, TN 37215-6293
(615) 296-3000
(615) 296-6011
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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