Healthcare Provider Details

I. General information

NPI: 1124545819
Provider Name (Legal Business Name): LANDMARK OF MIDWEST CITY SPECIALTY HOSPITAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2017
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8210 NATIONAL AVE
MIDWEST CITY OK
73110-8518
US

IV. Provider business mailing address

6101 NIMTZ PKWY
SOUTH BEND IN
46628-6111
US

V. Phone/Fax

Practice location:
  • Phone: 405-739-0800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code284300000X
TaxonomySpecial Hospital
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH MEISELS
Title or Position: MANAGER
Credential:
Phone: 718-664-3925