Basic Information
Provider Information | |||||||||
NPI: | 1407002801 | ||||||||
EntityType: | 2 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: | SAINT FRANCIS HOSPITAL INC | ||||||||
LastName: |   | ||||||||
FirstName: |   | ||||||||
MiddleName: |   | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: |   | ||||||||
OtherOrganizationName: | NATALIE WARREN AMBULATORY SURGERY CENTER | ||||||||
OtherOrganizationType: | 3 | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | PO BOX 707001 | ||||||||
Address2: |   | ||||||||
City: | TULSA | ||||||||
State: | OK | ||||||||
PostalCode: | 741707001 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 9185028013 | ||||||||
FaxNumber: | 9185028002 | ||||||||
Practice Location | |||||||||
Address1: | 6475 S YALE AVE | ||||||||
Address2: |   | ||||||||
City: | TULSA | ||||||||
State: | OK | ||||||||
PostalCode: | 741367816 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 9185029002 | ||||||||
FaxNumber: | 9185029010 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 08/18/2008 | ||||||||
LastUpdateDate: | 08/18/2008 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: |   | ||||||||
AuthorizedOfficialLastName: | EDWARDS | ||||||||
AuthorizedOfficialFirstName: | RENEE | ||||||||
AuthorizedOfficialMiddleName: | I | ||||||||
AuthorizedOfficialTitleorPosition: | DIRECTOR,PATIENT FINANCIAL SERVICES | ||||||||
AuthorizedOfficialTelephone: | 9185028010 | ||||||||
IsSoleProprietor: |   | ||||||||
IsOrganizationSubpart: | Y | ||||||||
ParentOrganizationLBN: | SAINT FRANCIS HOSPITAL INC | ||||||||
AuthorizedOfficialNamePrefix: | MRS. | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | 2262 | OK | Y |   | Hospitals | General Acute Care Hospital |   |
ID Information
ID | Type | State | Issuer | Description | 0918540 | 05 | IA |   | MEDICAID | 1791148 | 05 | LA |   | MEDICAID | 871555600 | 05 | MN |   | MEDICAID | XHSP31145 | 05 | CA |   | MEDICAID | XHSP41145 | 05 | CA |   | MEDICAID | 000370091001 | 01 | OK | BCBS | OTHER | 094564100 | 05 | FL |   | MEDICAID | 174568900 | 01 | OK | US DEPT OF LABOR | OTHER | 95007951 | 05 | CO |   | MEDICAID | 100099860A | 05 | KS |   | MEDICAID | 126294 | 05 | AZ |   | MEDICAID | 00981255 | 05 | NY |   | MEDICAID | 0333660 | 05 | OH |   | MEDICAID | 100699570A | 05 | OK |   | MEDICAID | 30-4924037 | 05 | MI |   | MEDICAID | 100038950A | 05 | IN |   | MEDICAID | 010853406 | 05 | MO |   | MEDICAID | 100699570C | 05 | OK |   | MEDICAID | 010386322 | 05 | VA |   | MEDICAID | 072674701 | 05 | TX |   | MEDICAID | 108245105 | 05 | AR |   | MEDICAID | 40-4924046 | 05 | MI |   | MEDICAID |