Organization Active NPI

Tulsa-Amg Specialty Hospital, LLC

  • Long Term Care Hospital
  • Tulsa, OK
National Provider Identifier
1124451455
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
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

Updated by the provider on Nov 29, 2016

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)CodeLicenseStatePrimary
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 Doing business as

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 Directory

NPI 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

Verify at the official NPI Registry.