# COMMUNITY HOSPITAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COMMUNITY HOSPITAL LLC
- **Other names:** Community Hospital Pro Fee Grp
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1730366832
- **Legal business name:** COMMUNITY HOSPITAL LLC
- **Authorized official:** DANIEL NEWMAN (OFFICER / AUTHORIZED OFFICIAL)
- **Authorized official phone:** (346) 212-0379

## Contact information

- **Practice address:** 3100 SW 89TH STREET, OKLAHOMA CITY, OK 73159
- **Practice address phone:** (405) 602-8100
- **Practice address fax:** (405) 602-8103
- **Mailing address:** 14201 DALLAS PKWY, DALLAS, TX 75254-2916
- **Mailing address phone:** (405) 602-8100
- **Mailing address fax:** (405) 602-8103

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | — |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 01/31/2008
- **Last updated:** 09/30/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100746230A | — | OK |
| 01 | — | DE2280 | RAILROAD MEDICARE \# | OK |