SOUTHWESTERN OKLAHOMA STATE UNIVERSITY – NPI #1912691908
Clinic/Center

SOUTHWESTERN OKLAHOMA STATE UNIVERSITY is an AHC clinic located in WEATHERFORD, OK. NPPES has assigned the NPI number 1912691908 to SOUTHWESTERN OKLAHOMA STATE UNIVERSITY on June 05, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QH0100X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Health Service

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHWESTERN OKLAHOMA STATE UNIVERSITY below.

NPI Profile for
SOUTHWESTERN OKLAHOMA STATE UNIVERSITY

NPI Number
1912691908
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHWESTERN OKLAHOMA STATE UNIVERSITY
Primary location
100 CAMPUS DRIVE
CENTER FOR HEALTH AND WELL-BEING
WEATHERFORD, OK 73096
Phone: (580) 774-6039 Fax: (580) 774-7121
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SUSAN ELLIS
DIRECTOR
Phone: (580) 774-6039
Updated
Certification Date
Jun 05, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QH0100X
- Clinic/Center / Health Service (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.