INTEGRIS AMBULATORY CARE CORP NPI 1902370687

NPI Information

NPI: 1902370687
Provider Name: INTEGRIS AMBULATORY CARE CORP

Doing Business As: INTEGRIS JIM THORPE REHABILITATION YMCA HEALTHY LIVING CENTER

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

Specialization: Rehabilitation

Address:
5520 N INDEPENDENCE AVE
OKLAHOMA CITY, OK
ZIP 73112
Phone: (405) 945-4500
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INTEGRIS AMBULATORY CARE CORP is a rehabilitation clinic center in Oklahoma City, OK. INTEGRIS AMBULATORY CARE CORP NPI is 1902370687. The provider is registered as an organization entity type.
The provider Is Doing Business As Integris Jim Thorpe Rehabilitation Ymca Healthy Living Center.

The provider's business location address is:

5520 N INDEPENDENCE AVE
OKLAHOMA CITY, OK
ZIP 73112-641
Phone: (405) 945-4500
Fax: (405) 945-4501

The provider's authorized official is Brent Davis .
The authorized official title is Vice President and has the following contact phone number (405) 949-3774.

The enumeration date for this NPI number is 1/16/2019 and was last updated on 1/23/2019.

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			Yes

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

NPI Synchronization or Removal

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