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LTAC HOSPITAL OF EDMOND LLC NPI 1093016818


NPI Information

NPI: 1093016818
Provider Name: LTAC HOSPITAL OF EDMOND, LLC
Classification: Long Term Care Hospital - 282E00000X
Entity Type: Organization

CLIA Number: 37D2082526

Address:
4300 W MEMORIAL RD FL 2
OKLAHOMA CITY, OK
ZIP 73120
Phone: (405) 936-5822
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LTAC HOSPITAL OF EDMOND, LLC is a long term care hospital in Oklahoma City, OK. The provider is long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. LTAC HOSPITAL OF EDMOND, LLC NPI is 1093016818. The provider is registered as an organization entity type.

The provider's business location address is:

4300 W MEMORIAL RD FL 2
OKLAHOMA CITY, OK
ZIP 73120-304
Phone: (405) 936-5822
Fax: (405) 936-5559

The provider's authorized official is Timothy W. Howard .
The authorized official title is President and has the following contact phone number (337) 269-9566.

The CLIA number assigned to this NPI record is 37D2082526 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/10/2010 and was last updated on 1/23/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1282E00000XLong Term Care HospitalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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