Organization
SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE K KISTLER (CEO)
(918) 492-8200
Entity
Organization
Contact information
Practice address
6262 S SHERIDAN RD, TULSA, OK 74133-4055
(918) 492-8200
Mailing address
6262 S SHERIDAN RD, TULSA, OK 74133-4055
(918) 492-8200
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
2240
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2240
HOSPITAL LICENSE NUMBER
OK
Enumeration date
03/29/2014
Last updated
03/29/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us