Provider Demographics
NPI:1740265347
Name:SAINT FRANCIS OUTREACH SERVICES LLC
Entity type:Organization
Organization Name:SAINT FRANCIS OUTREACH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR,PATIENT FINANCIAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:ANDRIA
Authorized Official - Middle Name:
Authorized Official - Last Name:STOLHAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-502-8000
Mailing Address - Street 1:6600 S YALE AVE
Mailing Address - Street 2:SUITE 500
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-3310
Mailing Address - Country:US
Mailing Address - Phone:918-494-2200
Mailing Address - Fax:918-502-8002
Practice Address - Street 1:6161 S YALE AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-1902
Practice Address - Country:US
Practice Address - Phone:918-494-2200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-07
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2262291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK700522123001OtherBLUE CROSS
OKP00116083OtherMEDICARE RAILROAD
OK========= 74136 0000OtherCHAMPUS
OK700522123001OtherBLUE CROSS