Organization Active NPI

Broken Arrow Medical Center Inc

Doing business as Saint Francis Hospital at Broken Arrow

  • General Acute Care Hospital
  • Broken Arrow, OK
National Provider Identifier
1104824440
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
2259 Issued in OK
Legal business name
BROKEN ARROW MEDICAL CENTER INC
Doing business as
Saint Francis Hospital at Broken Arrow
Practice address
3000 S Elm PL
Broken Arrow, OK 74012-7917
Phone
(918) 451-5148
NPI assigned
Jul 11, 2005
Last updated
Nov 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Renee I Edwards
Title
Director, Patient Financial Service
Phone
(918) 502-8010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 2259 OK Primary

Addresses

Primary practice location

3000 S Elm PL
Broken Arrow, OK 74012-7917

Mailing address

6600 S Yale Ave
Suite 500
Tulsa, OK 74136-3310
Phone (918) 502-8010

Other identifiers 9

IdentifierTypeStateIssuer
131748105MedicaidAR
200260350AMedicaidKS
607211000OtherUS DEPT OF LABOR
XHSP42794OtherCAMEDICAID - OUTPATIENT
000370176001OtherOKBLUE CROSS
100699930AMedicaidOK
109325MedicaidAZ
XHSP32794OtherCAMEDICAID - INPATIENT
10025422600MedicaidNE

Other names 1

  • Saint Francis Hospital at Broken Arrow Doing business as

National Provider Directory

National Provider Directory

Locations

2950 S Elm Pl
Ste 130
Broken Arrow, OK 74012
Phone (918) 307-6060

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1104824440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 S YALE AVE",
            "address_2": "SUITE 500",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363310",
            "telephone_number": "918-502-8010",
            "fax_number": "918-502-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 S ELM PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127917",
            "telephone_number": "918-451-5148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROKEN ARROW MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "DIRECTOR, PATIENT FINANCIAL SERVICE",
        "authorized_official_telephone_number": "918-502-8010",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OK",
            "license": "2259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131748105",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200260350A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "607211000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID - OUTPATIENT",
            "identifier": "XHSP42794",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000370176001",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100699930A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109325",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID - INPATIENT",
            "identifier": "XHSP32794",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025422600",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Francis Hospital at Broken Arrow",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.