INTEGRIS AMBULATORY CARE CORP; NPI #1790141935

Contact Information

INTEGRIS AMBULATORY CARE CORP

5520 N INDEPENDENCE AVE
OKLAHOMA CITY, OK 73112-5641

Phone: 405-949-3891
Fax: 405-949-3475
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Corporate Health	261QC1800X

Indicates primary specialty

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NPI Profile & details for INTEGRIS AMBULATORY CARE CORP

NPI Number 1790141935

LBN Legal business name INTEGRIS AMBULATORY CARE CORP

Authorized official C LAWRENCE - (PRESIDENT/CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/04/2016

Last updated 01/04/2016 - About 10 years ago

Identifiers

License #

2297

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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