Southcrest LLC
Organization Active NPI General Acute Care Hospital · Tulsa, OK
NPI 1023069028 · NPPES record last updated Oct 6, 2009
Key facts
- NPI
- 1023069028
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 2337 (OK)
- Legal business name
- SOUTHCREST LLC
- Practice address
- 8801 S 101St East Ave
Tulsa, OK 74133-5716 - Phone
- (918) 294-4000
- Fax
- (918) 294-4809
- NPI assigned
- May 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Laurie Holtsford
- Title
- Director, Business Office Services
- Phone
- (615) 465-7466
Corporate family (same tax ID) 2
Practitioners 3
-
Mark C Genesen, M.D.
-
Angela Y Mosby, M.D.
National Provider Directory
- Tax ID family
- Ahs Southcrest Hospital LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 2337 | OK | Yes |
Addresses
Primary practice location
8801 S 101St East Ave
Tulsa, OK 74133-5716
Mailing address
8801 S 101St East Ave
Tulsa, OK 74133-5707
Phone (918) 294-4000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100697900A | Medicaid | OK |
Other names
- SouthCrest Hospital
Other providers in Tulsa, OK
- Wrany R Southard
- Southbrook Family Physicians PLLC
- Southcrest Anesthesia Group LLC
- Southcrest Dialysis LLC
- Southcrest Emergency Physicians PC
- Southcrest LLC
- Southcrest Medical Group LLC
- Southcrest Surgery Center LP
- Southern Hills Nursing Center Inc
- Southern Hills Rehab Center, LLC
All providers in Tulsa, OK · General Acute Care Hospital in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.