NPIMap

Organization Active NPI

Broken Arrow Medical Center, Inc

  • Rehabilitation Hospital
  • Broken Arrow, OK
National Provider Identifier
1295710309
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
2259 Issued in OK
Legal business name
BROKEN ARROW MEDICAL CENTER, INC
Practice address
3000 S Elm PL
Broken Arrow, OK 74012-7917
Phone
(918) 494-2200
NPI assigned
Dec 12, 2005
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
Renee I Edwards
Title
Director,Patient Financial Services
Phone
(918) 502-8010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X 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) 502-8000

Other identifiers 1

IdentifierTypeStateIssuer
100699930DMedicaidOK

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1134345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1295710309",
    "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": "918-502-8000",
            "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": "918-494-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROKEN ARROW MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-12",
        "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 SERVICES",
        "authorized_official_telephone_number": "918-502-8010"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "OK",
            "license": "2259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100699930D",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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.