OrganizationActive
Ahs Cushing Hospital LLC
NPI 1720476765 · Pediatric Nutrition Registered Dietitian · Cushing, OK
Provider details
- NPI number
- 1720476765
- Entity type
- Organization
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Parent organization
- Ahs Medical Holdings LLC
- Authorized official
- Stephen Petrovich, Svp
Practice location
1027 E Cherry St
Cushing, OK 74023-4101
Phone: (918) 225-8300
Fax: (918) 225-8383
Mailing address
1 Burton Hills Blvd
Nashville, TN 37215-6293
Registry dates
- Enumerated
- 2014-12-29
- Last updated
- 2014-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.