Cherry Street Surgery Center, Llc

LBN: Cherry Street Surgery Center, Llc
Cherry Street Surgery Center, Llc is an health care organization with primary practice located at 1844 E 15Th St , Tulsa OK 74104-4611. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Cherry Street Surgery Center, Llc can be contacted via phone (918) 749-7177, or through Mathers, Mark L via phone (918) 749-7177.

Contact Information

Primary practice address
1844 E 15Th St Tulsa OK 74104-4611
Phone: (918) 749-7177
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mathers, Mark L Doctor of Osteopathy (DO)
Phone: (918) 749-7177

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 0046 Oklahoma

Profile Details

NPI number 1902960198
LBN Legal business name Cherry Street Surgery Center, Llc
DBA Doing business as
Authorized official Mathers, Mark L Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2006
Last updated Oct 7th, 2008 - about 17 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 1902960198 NPPES
Oklahoma MEDICAID 100748420A
Oklahoma Other 731572836-001

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