1598216566 NPI number — NORMAN REGIONAL HOSPITAL AUTHORITY

Table of content: (NPI 1598216566)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598216566 NPI number — NORMAN REGIONAL HOSPITAL AUTHORITY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NORMAN REGIONAL HOSPITAL AUTHORITY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
PHYSICAL PERFORMANCE CENTER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1598216566
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/25/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1308
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORMAN
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
73070-1308
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
405-307-1066
Provider Business Mailing Address Fax Number:
405-307-1076

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
724 24TH AVE NW
Provider Second Line Business Practice Location Address:
STE 100
Provider Business Practice Location Address City Name:
NORMAN
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73069-6218
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
405-447-1571
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/14/2016

Additional Information

Authorized Official

Authorized Official Last Name:
SPLITT
Authorized Official First Name:
LARRY
Authorized Official Middle Name:
R
Authorized Official Title or Position:
PRESIDENT & CEO
Authorized Official Telephone Number:
405-515-1022

Provider Taxonomy Codes

  • Taxonomy code: 225100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 225X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 235Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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