Provider Demographics
NPI:1972156842
Name:NORMAN REGIONAL HOSPITAL AUTHORITY
Entity Type:Organization
Organization Name:NORMAN REGIONAL HOSPITAL AUTHORITY
Other - Org Name:MEDICAL PLAZA ENDOSCOPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:R
Authorized Official - Last Name:SPLITT
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:405-515-1022
Mailing Address - Street 1:901 N PORTER AVE
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-6482
Mailing Address - Country:US
Mailing Address - Phone:405-307-1000
Mailing Address - Fax:405-307-1076
Practice Address - Street 1:1125 N PORTER AVE STE 304
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-6443
Practice Address - Country:US
Practice Address - Phone:405-360-2799
Practice Address - Fax:405-447-0321
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORMAN REGIONAL HOSPITAL AUTHORITY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-07-19
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical