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NPI Code Detail

MEDICARE: PARKSIDE, INC.

MEDICARE: PARKSIDE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1283Q00000XPsychiatric Hospital

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437370772
Entity Type Code : Organization
Provider Name (Legal Business Name) : PARKSIDE, INC.
Provider Business Mailing Address
First Line : 1239 S TRENTON AVE
Second Line :
City : TULSA
State : OK
Zip : 74120-5420
Country : US
Telephone Number : 918-582-2131
Fax Number : 918-588-8822
Provider Business Practice Location Address
First Line : 1239 S TRENTON AVE
Second Line :
City : TULSA
State : OK
Zip : 74120-5420
Country : US
Telephone Number : 918-582-2131
Fax Number : 918-588-8822
Authorized Official
Title or Position : EXEC. DIRECTOR ADMINISTRATIVE SVCS.
Name : MR. WILLIAM ERIC SACHAU
Credential :
Telephone Number : 918-582-2131
Provider Enumeration Date : 05/02/2007
Last Update Date : 05/26/2026

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Directions to “PARKSIDE, INC. ” Practice Location

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