Provider Demographics
NPI:1619385564
Name:NORMAN REGIONAL HOSPITAL AUTHORITY
Entity Type:Organization
Organization Name:NORMAN REGIONAL HOSPITAL AUTHORITY
Other - Org Name:NORMAN REGIONAL HME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:R
Authorized Official - Last Name:SPLITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-515-1022
Mailing Address - Street 1:650 24TH AVE SW
Mailing Address - Street 2:STE 100
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-3913
Mailing Address - Country:US
Mailing Address - Phone:405-307-2727
Mailing Address - Fax:
Practice Address - Street 1:650 24TH AVE SW
Practice Address - Street 2:STE 100
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-3913
Practice Address - Country:US
Practice Address - Phone:405-307-2727
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORMAN REGIONAL HOSPITAL AUTHORITY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-07-23
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK0900100004Medicare NSC