Active NPI
Tulsa-Amg Specialty Hospital, LLC
- Long Term Care Hospital
- Tulsa, OK
National Provider Identifier
1124451455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Hospital
- Legal business name
- TULSA-AMG SPECIALTY HOSPITAL, LLC
- Practice address
- 2408 E 81St St
Ste 2800
Tulsa, OK 74137-4200 - Phone
- (918) 744-3047
- Fax
- (918) 744-3043
- NPI assigned
- Aug 9, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. August J Rantz IV
- Title
- President
- Phone
- (337) 269-9566
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Hospital | 282E00000X | Primary |
Addresses
Primary practice location
2408 E 81St St
Ste 2800
Tulsa, OK 74137-4200
Mailing address
101 La Rue France
Suite 500
Lafayette, LA 70508-3144
Phone (337) 269-9566
Other names 1
- Tulsa- AMG Specialty Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Hospital certification: CCN 372011
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- TULSA-AMG SPECIALTY HOSPITAL, LLC
- Certification status
- Terminated Voluntary: merger or closure, Dec 15, 2017
- Provider type (POS)
- Hospital – Long-term
- Participating since
- May 8, 1997
- Last certification
- Mar 8, 2017
- Beds
- 40
- Ownership / control type
- Private (for profit)
- Most recent change of ownership
- Sep 1, 2013 (1 total)
- Facility address
- 2408 E 81St Street, Ste 2800
Tulsa, OK 74137
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1480377600000",
"number": "1124451455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 LA RUE FRANCE",
"address_2": "SUITE 500",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083144",
"telephone_number": "337-269-9566",
"fax_number": "337-223-4107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2408 E 81ST ST",
"address_2": "STE 2800",
"city": "TULSA",
"state": "OK",
"postal_code": "741374200",
"telephone_number": "918-744-3047",
"fax_number": "918-744-3043"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TULSA-AMG SPECIALTY HOSPITAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-09",
"last_updated": "2016-11-29",
"status": "A",
"authorized_official_last_name": "RANTZ",
"authorized_official_first_name": "AUGUST",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "337-269-9566",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "IV"
},
"taxonomies": [
{
"code": "282E00000X",
"taxonomy_group": "",
"desc": "Long Term Care Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Tulsa- AMG Specialty Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.