Basic Information
Provider Information
NPI: 1306381561
EntityType: 2
ReplacementNPI:  
OrganizationName: SAINT FRANCIS HOSPITAL MUSKOGEE INC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: SAINT FRANCIS REGIONAL SERVICES INC
OtherOrganizationType: 4
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6600 S YALE AVE
Address2: SUITE 500
City: TULSA
State: OK
PostalCode: 741363347
CountryCode: US
TelephoneNumber: 9185028013
FaxNumber: 9185028002
Practice Location
Address1: 300 ROCKEFELLER DR
Address2:  
City: MUSKOGEE
State: OK
PostalCode: 744015075
CountryCode: US
TelephoneNumber: 9186825501
FaxNumber: 9186842552
Other Information
ProviderEnumerationDate: 12/27/2016
LastUpdateDate: 06/16/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: EDWARDS
AuthorizedOfficialFirstName: RENEE
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: DIRECTOR, PATIENT FINANCIAL SERVICE
AuthorizedOfficialTelephone: 9185028014
IsSoleProprietor:  
IsOrganizationSubpart: Y
ParentOrganizationLBN: SAINT FRANCIS HOSPITAL MUSKOGEE INC
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
273Y00000X  Y Hospital UnitsRehabilitation Unit 

No ID Information.


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