INTEGRIS AMBULATORY CARE CORPORATION NPI 1982238077

NPI Information

NPI: 1982238077
Provider Name: INTEGRIS AMBULATORY CARE CORPORATION

Doing Business As: INTEGRIS JIM THORPE REHABILITATION EARLYWINE PARK YMCA

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

Specialization: Rehabilitation

Address:
11801 S MAY AVE
OKLAHOMA CITY, OK
ZIP 73170
Phone: (405) 945-4500
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INTEGRIS AMBULATORY CARE CORPORATION is a rehabilitation clinic center in Oklahoma City, OK. INTEGRIS AMBULATORY CARE CORPORATION NPI is 1982238077. The provider is registered as an organization entity type.
The provider Is Doing Business As Integris Jim Thorpe Rehabilitation Earlywine Park Ymca.

The provider's business location address is:

11801 S MAY AVE
OKLAHOMA CITY, OK
ZIP 73170-560
Phone: (405) 945-4500

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 CLIA number assigned to this NPI record is 37D0471760 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/27/2020 and was last updated on 3/5/2020.

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

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