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Contact Information

INTEGRAL ANESTHESIA, LLC
3029 W MAIN ST
JENKS, OK74037-3465
 Phone: 918-701-2300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for INTEGRAL ANESTHESIA, LLC

NPI # 1881041515
LBN Legal business name INTEGRAL ANESTHESIA, LLC
Authorized official LYNNE IMHOFF - (SOLE MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/23/2016
Last updated 05/12/2026 - About a month ago
Identifiers
OK License # 13167
OK Medicaid 100095350A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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