1699944835 NPI number — LYNN HEALTH SCIENCE INSTITUTE, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699944835 NPI number — LYNN HEALTH SCIENCE INSTITUTE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LYNN HEALTH SCIENCE INSTITUTE, INC.
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:
COLORADO INSTITUTE OF SLEEP MEDICINE
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:
1699944835
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/02/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3555 NW 58TH ST
Provider Second Line Business Mailing Address:
STE. 800
Provider Business Mailing Address City Name:
OKLAHOMA CITY
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
73112-4707
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
405-602-3939
Provider Business Mailing Address Fax Number:
405-548-0442

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1625 MEDICAL CENTER PT
Provider Second Line Business Practice Location Address:
STE 260
Provider Business Practice Location Address City Name:
COLORADO SPRINGS
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80907-8731
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
719-636-3784
Provider Business Practice Location Address Fax Number:
405-630-3211
Provider Enumeration Date:
02/21/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
WILLIS
Authorized Official First Name:
FRANKLIN
Authorized Official Middle Name:
K
Authorized Official Title or Position:
CHIEF OPERATING OFFICER
Authorized Official Telephone Number:
405-602-3919

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 84358548 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".