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INTEGRIS AMBULATORY CARE CORPORATION NPI 1922748086


NPI Information

NPI: 1922748086
Provider Name: INTEGRIS AMBULATORY CARE CORPORATION
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
3400 N MUELLER AVE
BETHANY, OK
ZIP 73008
Phone: (405) 945-4500
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INTEGRIS AMBULATORY CARE CORPORATION is a rehabilitation clinic center in Bethany, OK. INTEGRIS AMBULATORY CARE CORPORATION NPI is 1922748086. The provider is registered as an organization entity type.

The provider's business location address is:

3400 N MUELLER AVE
BETHANY, OK
ZIP 73008-950
Phone: (405) 945-4500

The provider's authorized official is Michael Weed .
The authorized official title is Vice President Finance and has the following contact phone number (405) 951-2737.

The enumeration date for this NPI number is 3/29/2022 and was last updated on 3/29/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0400XClinic/CenterRehabilitationYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100736700AMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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