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General NPI Number Information
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NPI Number | 1295710309
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Entity Type | Organization
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Legal Business Name | BROKEN ARROW MEDICAL CENTER, INC
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Dates
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Enumeration Date | 12/12/2005
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Last Update Date | 11/06/2008
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Provider Practice Location Address
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Address Line | 3000 S ELM PL
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City | BROKEN ARROW
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State | OK
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Zip | 74012-7917
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Country | US
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Telephone | 918-494-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 6600 S YALE AVE SUITE 500
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City | TULSA
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State | OK
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Zip | 74136-3310
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Country | US
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Telephone | 918-502-8000
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Fax | 918-502-8002
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Authorized Official
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Title or Position | DIRECTOR,PATIENT FINANCIAL SERVICES
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Name | RENEE I EDWARDS
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Credential |
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Telephone | 918-502-8010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number | 2259
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License Number State | OK
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