Organization
AHS HILLCREST MEDICAL CENTER LLC
Active
Other names
Hillcrest Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN 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
133V00000X
Registered Dietitian
Primary
2264
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000370001001
BCBS OF OKLAHOMA
OK
05
—
200044210A
—
OK
Enumeration date
07/10/2007
Last updated
01/10/2014
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