Integris Jim Thorpe Op Rehab

LBN: Integris Ambulatory Care Corporation
Integris Jim Thorpe Op Rehab is an health care organization with primary practice located at 2111 Riverwalk Dr , Moore OK 73160-2700. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, which is considered as the primary health care specialty. Integris Ambulatory Care Corporation can be contacted via phone (405) 793-7885, or through Lawrence, C Bruce via phone (405) 949-6066.

Contact Information

Primary practice address
2111 Riverwalk Dr Moore OK 73160-2700
Phone: (405) 793-7885
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lawrence, C Bruce
Phone: (405) 949-6066

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X

Profile Details

NPI number 1023039187
LBN Legal business name Integris Ambulatory Care Corporation
DBA Doing business as Integris Jim Thorpe Op Rehab
Authorized official Lawrence, C Bruce
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2006
Last updated Apr 8th, 2015 - about 11 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 1023039187 NPPES
Oklahoma MEDICAID 100736700A

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