SOUTHWESTERN REGIONAL MEDICAL CENTER, INC NPI 1073500419

Special Hospital in Tulsa, OK

Organization Special Hospital

About SOUTHWESTERN REGIONAL MEDICAL CENTER, INC

Southwestern Regional Medical Center, Inc is a provider established in Tulsa, Oklahoma specializing in special hospital. The NPI number of Southwestern Regional Medical Center, Inc is 1073500419 and was assigned on September 2005. The practitioner's primary taxonomy code is 284300000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Steve Mackin (Coo)

NPI

1073500419

Provider NameSOUTHWESTERN REGIONAL MEDICAL CENTER, INC
Provider Location Address10109 E 79TH STREET SOUTH TULSA, OK 74133
Provider Mailing Address1480 PAYSPHERE CIR CHICAGO, IL 60674
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date09-30-2005
Last Update Date09-04-2008

Primary Taxonomy

Taxonomy Code284300000X
ClassificationSpecial Hospital
TypeHospitals
Taxonomy DescriptionA designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical.

Business Address

SOUTHWESTERN REGIONAL MEDICAL CENTER, INC
10109 E 79TH STREET SOUTH
TULSA, OK
ZIP 74133
Phone: (918) 286-5000
Fax: (918) 286-5081

Get Directions

Mailing Address

SOUTHWESTERN REGIONAL MEDICAL CENTER, INC
1480 PAYSPHERE CIR
CHICAGO, IL
ZIP 60674
Phone: (918) 286-5000
Fax: (918) 286-5081

Authorized Official

Authorized Official Name STEVE MACKIN
Authorized Official TitleCOO
Authorized Official Phone(918) 286-5578

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
370190MEDICARE ID-TYPE UNSPECIFIED (04)OK

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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