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St John Health System

Organization Active NPI Medical Specialty Clinic/Center · Tulsa, OK

NPI 1508226507 · NPPES record last updated Mar 3, 2016

Key facts

NPI
1508226507
Entity type
Organization (NPI type 2)
Primary specialty
Medical Specialty Clinic/Center 261QM2500X
Legal business name
ST JOHN HEALTH SYSTEM
Practice address
1717B S Utica Ave
Suite 205
Tulsa, OK 74104-5333
Phone
(918) 744-2995
NPI assigned
Mar 3, 2016
Organization subpart
No

Authorized official

Name
Ms. Kelley Michelle Frost, MS RD LD CDE
Title
Diabetes Educator
Phone
(918) 744-2449

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Corporate family (same tax ID) 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
St Johns Hospital (7 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Yes

Addresses

Primary practice location

1717B S Utica Ave
Suite 205
Tulsa, OK 74104-5333

Mailing address

1717B S Utica Ave
Suite 205
Tulsa, OK 74104-5333

Other providers in Tulsa, OK

All providers in Tulsa, OK · Medical Specialty Clinic/Center in Oklahoma

Sources for this page

Verify at the official NPI Registry.