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NPI Code Detail

MEDICARE: INTEGRIS RURAL HEALTH INC

MEDICARE: INTEGRIS RURAL HEALTH INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VG0400XGynecology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316939044
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTEGRIS RURAL HEALTH INC
Provider Business Mailing Address
First Line : PO BOX 960219
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73196-0219
Country : US
Telephone Number : 580-548-1367
Fax Number : 580-548-1583
Provider Business Practice Location Address
First Line : 620 S MADISON ST
Second Line : SUITE 301
City : ENID
State : OK
Zip : 73701-7270
Country : US
Telephone Number : 580-233-6350
Fax Number : 580-233-6106
Authorized Official
Title or Position : PRESIDENT RURAL HEALTH
Name : OSCAR KARL WEINMEISTER JR.
Credential :
Telephone Number : 580-548-1367
Provider Enumeration Date : 08/18/2005
Last Update Date : 06/09/2008

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1538189212 — DR. KEVIN BRENT KOURT M.D.
Practice Location Address:
620 S MADISON ST STE 209
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Practice Fax:
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Directions to “INTEGRIS RURAL HEALTH INC ” Practice Location

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