AHS CUSHING HOSPITAL LLC NPI 1720476765

NPI Information

  • NPI: 1720476765
  • Provider Name: AHS CUSHING HOSPITAL LLC
  • Classification: Dietitian, Registered - 133VN1004X
  • Specialization: Nutrition, Pediatric
  • Entity Type: Organization
  • Address: 1027 E CHERRY ST
    CUSHING, OK
    ZIP 74023
  • Phone: (918) 225-8300

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NPI Details

AHS CUSHING HOSPITAL LLC is a nutrition and pediatric dietitian registered in Cushing, OK. The provider is an individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition. AHS CUSHING HOSPITAL LLC NPI is 1720476765. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1027 E CHERRY ST
CUSHING, OK
ZIP 74023-101
Phone: (918) 225-8300
Fax: (918) 225-8383

The provider's authorized official is Stephen C Petrovich .
The authorized official title is Svp and has the following contact phone number (615) 296-3000.

The enumeration date for this NPI number is 12/29/2014 and was last updated on 12/29/2014.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133VN1004XDietitian, RegisteredNutrition, PediatricYes

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: 11/21/2025

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