SOUTHWESTERN OKLAHOMA STATE UNIVERSITY; NPI #1912691908

Contact Information

SOUTHWESTERN OKLAHOMA STATE UNIVERSITY

100 CAMPUS DRIVE
CENTER FOR HEALTH AND WELL-BEING
WEATHERFORD, OK 73096

Phone: 580-774-6039
Fax: 580-774-7121
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Health Service	261QH0100X

Indicates primary specialty

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NPI Profile & details for SOUTHWESTERN OKLAHOMA STATE UNIVERSITY

NPI Number	`1912691908`
LBN Legal business name	SOUTHWESTERN OKLAHOMA STATE UNIVERSITY
Authorized official	SUSAN ELLIS - (DIRECTOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	06/05/2023
Last updated	06/05/2023 - About 3 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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