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Contact Information

SOUTHWESTEN OKLAHOMA STATE UNIVERSITY TRAINING ROOM
100 CAMPUS DR
WEATHERFORD, OK73096-3001
 Phone: 972-687-1893
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Student Health

261QS1000X
Indicates primary specialty

NPI Profile & details for SOUTHWESTEN OKLAHOMA STATE UNIVERSITY TRAINING ROOM

NPI # 1881974244
LBN Legal business name SOUTHWESTEN OKLAHOMA STATE UNIVERSITY TRAINING ROOM
Authorized official EDWIN DETWEILER - (HEAD ATHLETIC TRAINER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/17/2011
Last updated 08/17/2011 - About 15 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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