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General NPI Number Information
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NPI Number | 1467523894
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Entity Type | Organization
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Legal Business Name | AHS CUSHING HOSPITAL LLC
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 1027 E CHERRY ST
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City | CUSHING
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State | OK
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Zip | 74023-4101
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Country | US
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Telephone | 918-225-2915
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Fax | 918-225-2517
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Provider Business Mailing Address
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Address Line | 340 SEVEN SPRINGS WAY STE 100
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City | BRENTWOOD
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State | TN
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Zip | 37027-5697
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Country | US
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Telephone | 615-296-3594
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Fax | 918-225-2517
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Authorized Official
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Title or Position | EVP, GENERAL COUNSEL
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Name | STEPHEN C. PETROVICH
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Credential |
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Telephone | 615-296-3594
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number | 2266
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License Number State | OK
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