AHS PRYOR HOSPITAL LLC NPI 1740787928

NPI Information

NPI: 1740787928
Provider Name: AHS PRYOR HOSPITAL, LLC

Doing Business As: UTICA PARK CLINIC FAMILY MEDICINE

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
1301 NE 1ST ST STE 400
PRYOR, OK
ZIP 74361
Phone: (918) 824-8000
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AHS PRYOR HOSPITAL, LLC is a rural health clinic center in Pryor, OK. AHS PRYOR HOSPITAL, LLC NPI is 1740787928. The provider is registered as an organization entity type.
The provider Is Doing Business As Utica Park Clinic Family Medicine.

The provider's business location address is:

1301 NE 1ST ST STE 400
PRYOR, OK
ZIP 74361
Phone: (918) 824-8000
Fax: (918) 825-5505

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

The enumeration date for this NPI number is 4/12/2018 and was last updated on 6/4/2019.

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
1	261Q00000X	Clinic/Center				No
2	261QR1300X	Clinic/Center	Rural Health			Yes

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

NPI Synchronization or Removal

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