Organization
SELECT SPECIALTY HOSPITAL - TULSA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL E. TARVIN (VICE PRESIDENT)
(717) 972-1139
Entity
Organization
Contact information
Practice address
6161 S YALE ST, 5TH FLOOR SOUTH, TULSA, OK 74136
(918) 502-1475
(918) 502-1470
Mailing address
4716 OLD GETTYSBURG RD, LEGAL DEPT., MECHANICSBURG, PA 17055-4325
(717) 972-1139
(717) 975-9981
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
0330
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000372006001
BCBS OK
OK
Enumeration date
07/28/2005
Last updated
03/11/2008
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