Southwestern Regional Medical Center, LLC

Primary specialty

Special HospitalTaxonomy code 284300000X

Legal business name

SOUTHWESTERN REGIONAL MEDICAL CENTER, LLC

Practice address

10109 E 79TH Street South
Tulsa, OK 74133

Phone

(918) 286-5000

Fax

(918) 286-5081

NPI assigned

Sep 30, 2005

Last updated

Jun 17, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dana Haynie

Title

Ceo

Phone

(918) 286-5793

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073500419. Details of each certification follow.

• CCN 370190 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 370190

Legal name

SOUTHWESTERN REGIONAL MEDICAL CENTER, LLC

Certification status

Terminated Voluntary: merger or closure, Jun 1, 2021

Provider type (POS)

Hospital – Short-term

Participating since

Jun 4, 1990

Last certification

Oct 26, 2018

Beds

40 (30 certified)

Ownership / control type

Private (for profit)

Facility address

10109 East 79TH Street
Tulsa, OK 74133

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1073500419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BROKEN SOUND PKWY NW",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872797",
            "telephone_number": "918-286-5000",
            "fax_number": "918-286-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10109 E 79TH STREET SOUTH",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74133",
            "telephone_number": "918-286-5000",
            "fax_number": "918-286-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWESTERN REGIONAL MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "HAYNIE",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-286-5793"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ctcasrmc@ctcac.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct",
            "address_1": "10109 E 79th Street South",
            "city": "Tulsa",
            "state": "OK",
            "country_code": "US",
            "postal_code": "74133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Rocky Sowards, PT

• Special Hospital in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Special Hospital in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.