| Parkside Psychiatric Hospital & Clinic | |
|
1220 S Trenton Ave Tulsa OK 74120-5421 | |
| (918) 582-2131 | |
| Not Available |
| Full Name | Parkside Psychiatric Hospital & Clinic |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1220 S Trenton Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | William Eric Sachau (DIRECTOR OF BUSINESS DEVELOPMENT) |
| Authorized Official Contact | 9185888826 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkside Psychiatric Hospital & Clinic 1620 E 12th St Tulsa OK 74120-5407 Ph: (918) 582-2131 | Parkside Psychiatric Hospital & Clinic 1220 S Trenton Ave Tulsa OK 74120-5421 Ph: (918) 582-2131 |
| NPI Number | 1164643409 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 02/15/2022 |
| Certification Date | 02/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164643409 | NPI | - | NPPES |
| 100738360O | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
| 323P00000X | Psychiatric Residential Treatment Facility | (* (Not Available)) | Secondary |
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