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1720085178

NPI Code Detail

MEDICARE: ROLLING HILLS HOSPITAL, LLC

MEDICARE: ROLLING HILLS HOSPITAL, LLC

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
1	323P00000X	Psychiatric Residential Treatment Facility
2	283Q00000X	Psychiatric Hospital	2319	OK

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	500522195	OTHER		MEDICARE PART B
5	374016	OTHER		MEDICARE PART A

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	742752849001	OTHER		OKLAHOMA BCBS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720085178
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROLLING HILLS HOSPITAL, LLC

Provider Business Mailing Address
First Line	:	4020 ASPEN GROVE DR STE 900
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37067-3134
Country	:	US
Telephone Number	:	615-861-6000
Fax Number	:	615-261-9685

Provider Business Practice Location Address
First Line	:	1000 ROLLING HILLS LN
Second Line	:
City	:	ADA
State	:	OK
Zip	:	74820-9415
Country	:	US
Telephone Number	:	580-436-3600
Fax Number	:	580-332-0295

Authorized Official
Title or Position	:	VICE PRESIDENT AND SECRETARY
Name	:	BRIAN P FARLEY
Credential	:
Telephone Number	:	615-861-6000

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	01/05/2026

Similar Medicare Providers

1558374728 — TIMOTHY D MILLS DPH
Practice Location Address:

1000 ROLLING HILLS LN
ADA, OK
74820-9415

Practice Phone: 580-436-3600
Practice Fax: 580-436-3958

1336222504 — MR. ROBERT OLIVER MORTON MD
Practice Location Address:

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ADA, OK
74820-9415

Practice Phone: 580-759-0022
Practice Fax: 580-759-2177

1689052953 — LAUREN SANDMANN-CROW PA-C
Practice Location Address:

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ADA, OK
74820-9415

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Practice Fax:

1437733474 — PATRICIA MAE WRIGHT
Practice Location Address:

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ADA, OK
74820-9415

Practice Phone: 580-453-4577
Practice Fax:

1891410536 — MRS. AMANDA LUANNE SMITH AAS; LPN DEGREE
Practice Location Address:

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ADA, OK
74820-9415

Practice Phone: 158-027-2241
Practice Fax: 580-436-5824

1528747896 — TINA RENAE PETERSON APRN-BC
Practice Location Address:

1000 ROLLING HILLS LN
ADA, OK
74820-9415

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Directions to “ROLLING HILLS HOSPITAL, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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