Basic Information
Provider Information
NPI: 1700334232
EntityType: 2
ReplacementNPI:  
OrganizationName: SAINT FRANCIS HOSPITAL VINITA, INC
LastName:  
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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: 735 N FOREMAN ST
Address2:  
City: VINITA
State: OK
PostalCode: 743011422
CountryCode: US
TelephoneNumber: 9182567551
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/13/2016
LastUpdateDate: 09/13/2016
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: EDWARDS
AuthorizedOfficialFirstName: RENEE
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AuthorizedOfficialTitleorPosition: DIRECTOR-PATIENT FINANCIAL SERVICES
AuthorizedOfficialTelephone: 9185028010
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MRS.
AuthorizedOfficialNameSuffix:  
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NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
282N00000X  Y HospitalsGeneral Acute Care Hospital 

No ID Information.


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