Provider Demographics
NPI:1629044714
Name:NORMAN REGIONAL HOSPITAL AUTHORITY
Entity Type:Organization
Organization Name:NORMAN REGIONAL HOSPITAL AUTHORITY
Other - Org Name:OKLAHOMA SLEEP THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-307-1050
Mailing Address - Street 1:718 N PORTER AVENE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071
Mailing Address - Country:US
Mailing Address - Phone:405-307-6620
Mailing Address - Fax:405-307-6628
Practice Address - Street 1:3555 NW 58TH STREET
Practice Address - Street 2:SUITE 130-W
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112
Practice Address - Country:US
Practice Address - Phone:405-732-2291
Practice Address - Fax:405-307-6628
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-27
Last Update Date:2014-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100700690CMedicaid
OK0900100003Medicare NSC