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NPI Code Detail

MEDICARE: INTEGRIS BAPTIST MEDICAL CENTER INC

MEDICARE: INTEGRIS BAPTIST MEDICAL CENTER 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
1273R00000XPsychiatric Hospital Unit2297OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881760759
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTEGRIS BAPTIST MEDICAL CENTER INC
Provider Business Mailing Address
First Line : PO BOX 268907
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73126-8907
Country : US
Telephone Number : 405-427-2441
Fax Number :
Provider Business Practice Location Address
First Line : 2601 SPENCER RD
Second Line :
City : SPENCER
State : OK
Zip : 73084-3649
Country : US
Telephone Number : 405-427-2441
Fax Number :
Authorized Official
Title or Position : VP
Name : MICHAEL WEED
Credential :
Telephone Number : 405-951-2737
Provider Enumeration Date : 11/24/2006
Last Update Date : 07/02/2021

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Directions to “INTEGRIS BAPTIST MEDICAL CENTER INC ” Practice Location

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