Provider Demographics
NPI:1720055627
Name:NORMAN REGIONAL HOSPITAL AUTHORITY
Entity Type:Organization
Organization Name:NORMAN REGIONAL HOSPITAL AUTHORITY
Other - Org Name:NORMAN REGIONAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:INTERIM 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:PO BOX 1308
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73070-1308
Mailing Address - Country:US
Mailing Address - Phone:405-307-1000
Mailing Address - Fax:405-307-1076
Practice Address - Street 1:901 N PORTER AVE
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-6482
Practice Address - Country:US
Practice Address - Phone:405-307-1000
Practice Address - Fax:405-307-1076
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORMAN REGIONAL HOSPITAL AUTHORITY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-03-01
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2284273Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK37T008Medicare Oscar/Certification