Organization
AHS OKLAHOMA PHYSICIAN GROUP,LLC
Active
Other names
Cushing Medical Specialist
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN C. PETROVICH (EVP GENERAL COUNSEL)
(615) 296-3594
Entity
Organization
Contact information
Practice address
1025 E 2ND ST, CUSHING, OK 74023-4136
(918) 225-3627
Mailing address
340 SEVEN SPRINGS WAY STE 100, BRENTWOOD, TN 37027-5697
(615) 296-3594
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/10/2021
Last updated
04/06/2026
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