Integris Nw Family Medicine Clinic

LBN: Integris Bass Baptist Health Center
Integris Nw Family Medicine Clinic is an health care organization with primary practice located at 620 S Madison St Suite 209, Enid OK 73701-7273. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Integris Bass Baptist Health Center can be contacted via phone (580) 548-1544, or through Meyers, Greg A via phone (580) 977-1831.

Contact Information

Primary practice address
620 S Madison St Suite 209 Enid OK 73701-7273
Phone: (580) 548-1544
Fax: (580) 548-1590
Website:
Map and Directions
Authorized official contact:
Name: Meyers, Greg A
Phone: (580) 977-1831

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1003050410
LBN Legal business name Integris Bass Baptist Health Center
DBA Doing business as Integris Nw Family Medicine Clinic
Authorized official Meyers, Greg A
Entity Organization
Organization subpart 1 No
Enumeration date Apr 29th, 2009
Last updated Dec 16th, 2013 - 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 1003050410 NPPES
Oklahoma MEDICAID 100699500L

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