Integris Mayes County Medical Group

LBN: Baptist Healthcare Of Oklahoma
Integris Mayes County Medical Group is an health care organization with primary practice located at 1301 Ne 1St St , Pryor OK 74361-8850. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Baptist Healthcare Of Oklahoma can be contacted via phone (918) 824-7777, or through Weaver, Douglas Kent via phone (918) 825-1600.

Contact Information

Primary practice address
1301 Ne 1St St Pryor OK 74361-8850
Phone: (918) 824-7777
Fax: (918) 824-6414
Website:
Map and Directions
Authorized official contact:
Name: Weaver, Douglas Kent
Phone: (918) 825-1600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1881659746
LBN Legal business name Baptist Healthcare Of Oklahoma
DBA Doing business as Integris Mayes County Medical Group
Authorized official Weaver, Douglas Kent
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2006
Last updated Mar 31st, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881659746 NPPES
Oklahoma MEDICAID 200039950A
Oklahoma Other 37D1030240

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