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BROOKHAVEN HOSPITAL LLC NPI 1023064300


NPI Information

NPI: 1023064300
Provider Name: BROOKHAVEN HOSPITAL, LLC
Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization

CLIA Number: 37D0474124

Address:
201 S GARNETT RD
TULSA, OK
ZIP 74128
Phone: (918) 438-4257
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BROOKHAVEN HOSPITAL, LLC is a psychiatric hospital in Tulsa, OK. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. BROOKHAVEN HOSPITAL, LLC NPI is 1023064300. The provider is registered as an organization entity type.

The provider's business location address is:

201 S GARNETT RD
TULSA, OK
ZIP 74128
Phone: (918) 438-4257
Fax: (918) 438-0083

The provider's authorized official is Kenneth Noel Pierce .
The authorized official title is Cfo and has the following contact phone number (918) 438-4257.

The CLIA number assigned to this NPI record is 37D0474124 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 9/13/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1273Y00000XRehabilitation Unit2313OKLAHOMANo
2283Q00000XPsychiatric Hospital2313OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1160837125MEDICAIDARKANSAS
2100299900BMEDICAIDKANSAS
30157430MEDICAIDSOUTH DAKOTA
41023064300MEDICAIDWASHINGTON
510026694200MEDICAIDNEBRASKA
61023064300MEDICAIDNORTH CAROLINA
7Q029771MEDICAIDTENNESSEE
80901223MEDICAIDIOWA
9100701410AMEDICAIDOKLAHOMA
1000401269MEDICAIDNEW MEXICO
11100701410BMEDICAIDOKLAHOMA
12100701410CMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.