Provider Demographics
NPI:1821275892
Name:NORMAN REGIONAL HEALTH SYSTEMS
Entity Type:Organization
Organization Name:NORMAN REGIONAL HEALTH SYSTEMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIETITIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:SARA
Authorized Official - Middle Name:MELISSA
Authorized Official - Last Name:POLSTON
Authorized Official - Suffix:
Authorized Official - Credentials:RD/LD
Authorized Official - Phone:405-408-2952
Mailing Address - Street 1:901 N PORTER
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-6404
Mailing Address - Country:US
Mailing Address - Phone:405-307-2121
Mailing Address - Fax:
Practice Address - Street 1:901 N PORTER
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-6404
Practice Address - Country:US
Practice Address - Phone:405-307-2121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-22
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKLD1541282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital