Southcrest LLC
Organization Active NPI Ambulatory Surgical Clinic/Center · Tulsa, OK
NPI 1386947604 · NPPES record last updated Mar 1, 2011
Key facts
- NPI
- 1386947604
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- License
- 0063 (OK)
- Legal business name
- SOUTHCREST LLC
- Practice address
- 8803 S 101St East Ave
Suite 160
Tulsa, OK 74133-5726 - Phone
- (918) 294-2100
- Fax
- (918) 294-2110
- NPI assigned
- Dec 8, 2010
- Organization subpart
- No
Authorized official
- Name
- Debbie Brewer
- Title
- Director
- Phone
- (877) 892-9813
National Provider Directory
Locations
8803 S 101st East Ave
Ste 160
Tulsa, OK 74133
Phone (918) 294-2100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 0063 | OK | Yes |
Addresses
Primary practice location
8803 S 101St East Ave
Suite 160
Tulsa, OK 74133-5726
Mailing address
7100 Commerce Way
Suite 180
Brentwood, TN 37027-2829
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | OK |
Other providers in Tulsa, OK
- 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
- Southern Hills Retirement Center, LLC
All providers in Tulsa, OK · Ambulatory Surgical Clinic/Center in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2011. 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.