INTEGRIS SOUTH OKLAHOMA CITY CORPORATION NPI 1801819099

NPI Information

NPI: 1801819099
Provider Name: INTEGRIS SOUTH OKLAHOMA CITY CORPORATION

Doing Business As: INTEGRIS JIM THORPE OUTPATIENT REHAB SOUTH

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
4100 S DOUGLAS AVE
OKLAHOMA CITY, OK
ZIP 73109
Phone: (405) 644-5445
Get Directions

INTEGRIS SOUTH OKLAHOMA CITY CORPORATION is a rehabilitation clinic center in Oklahoma City, OK. INTEGRIS SOUTH OKLAHOMA CITY CORPORATION NPI is 1801819099. The provider is registered as an organization entity type.
The provider Is Doing Business As Integris Jim Thorpe Outpatient Rehab South.

The provider's business location address is:

4100 S DOUGLAS AVE
OKLAHOMA CITY, OK
ZIP 73109-210
Phone: (405) 644-5445

The provider's authorized official is Stanley Hupfelc .
The authorized official title is President/ceo and has the following contact phone number (405) 949-6066.

The CLIA number assigned to this NPI record is 37D2285115 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 5/14/2008.

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
1	261QR0400X	Clinic/Center	Rehabilitation	2289	OKLAHOMA	Yes

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
1	100700200A	MEDICAID	OKLAHOMA
2	374506	MEDICARE OSCAR/CERTIFICATION	OKLAHOMA

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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