CARRUS LAKESIDE HOSPITAL LLC NPI 1356012892

NPI Information

  • NPI: 1356012892
  • Provider Name: CARRUS LAKESIDE HOSPITAL, LLC
  • Classification: General Acute Care Hospital - 282N00000X
  • Entity Type: Organization
  • CLIA Number: 37D2279758
  • Address: 700 W 7TH AVE STE 6
    BRISTOW, OK
    ZIP 74010
  • Phone: (903) 870-2745

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NPI Details

CARRUS LAKESIDE HOSPITAL, LLC is a general acute care hospital in Bristow, OK. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. CARRUS LAKESIDE HOSPITAL, LLC NPI is 1356012892. The provider is registered as an organization entity type.

The provider's business location address is:

700 W 7TH AVE STE 6
BRISTOW, OK
ZIP 74010-302
Phone: (903) 870-2745
Fax: (903) 870-2795

The provider's authorized official is Anbarasu Nachimuthu .
The authorized official title is Chairman & Ceo and has the following contact phone number (903) 870-2745.

The CLIA number assigned to this NPI record is 37D2279758 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/23/2021 and was last updated on 12/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1282N00000XGeneral Acute Care HospitalYes
2282NC0060XGeneral Acute Care HospitalCritical AccessNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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