Southcrest Llc

LBN: Southcrest Llc
Southcrest Llc is an health care organization with primary practice located at 8803 S 101St East Ave Suite 160, Tulsa OK 74133-5726. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Southcrest Llc can be contacted via phone (918) 294-2100, or through Brewer, Debbie via phone (877) 892-9813.

Contact Information

Primary practice address
8803 S 101St East Ave Suite 160 Tulsa OK 74133-5726
Phone: (918) 294-2100
Fax: (918) 294-2110
Website:
Map and Directions
Authorized official contact:
Name: Brewer, Debbie
Phone: (877) 892-9813

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 0063 Oklahoma

Profile Details

NPI number 1386947604
LBN Legal business name Southcrest Llc
DBA Doing business as
Authorized official Brewer, Debbie
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2010
Last updated Mar 1st, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386947604 NPPES
Oklahoma MEDICAID PENDING

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