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NPI Code Detail

MEDICARE: INTEGRIS SOUTH OKLAHOMA CITY HOSPITAL CORPORATION

MEDICARE: INTEGRIS SOUTH OKLAHOMA CITY HOSPITAL CORPORATION
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
1282N00000XGeneral Acute Care Hospital2289OK

Other Identifiers

General Provider Information

NPI Number : 1457372625
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTEGRIS SOUTH OKLAHOMA CITY HOSPITAL CORPORATION
Provider Business Mailing Address
First Line : 5400 N INDEPENDENCE AVE
Second Line : 100
City : OKLAHOMA CITY
State : OK
Zip : 73112-5300
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4401 S WESTERN AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73109-3413
Country : US
Telephone Number : 405-636-7000
Fax Number :
Authorized Official
Title or Position : CFO
Name : CHRIS HAMMES
Credential :
Telephone Number : 405-949-3402
Provider Enumeration Date : 07/22/2006
Last Update Date : 07/02/2021

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1225090343 — ERIC LONG D.O.
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Directions to “INTEGRIS SOUTH OKLAHOMA CITY HOSPITAL CORPORATION ” Practice Location

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