1962953547 NPI number — SAINT FRANCIS HOSPITAL VINITA, INC

Table of content: BETTINA BREA RN (NPI 1790304533)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962953547 NPI number — SAINT FRANCIS HOSPITAL VINITA, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SAINT FRANCIS HOSPITAL VINITA, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1962953547
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/13/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6600 S YALE AVE
Provider Second Line Business Mailing Address:
SUITE 500
Provider Business Mailing Address City Name:
TULSA
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
74136-3347
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
918-502-8000
Provider Business Mailing Address Fax Number:
918-502-8002

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
116 S WILSON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VINITA
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
74301-3730
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
918-256-0282
Provider Business Practice Location Address Fax Number:
918-256-7343
Provider Enumeration Date:
10/19/2016

Additional Information

Authorized Official

Authorized Official Last Name:
STOLHAND
Authorized Official First Name:
ANDRIA
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR-PATIENT FINANCIAL SERVICES
Authorized Official Telephone Number:
918-502-8000

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com