National Provider Identifier Database

INTEGRIS AMBULATORY CARE CORPORATION
Rehabilitation


Contact Information

INTEGRIS AMBULATORY CARE CORPORATION
2203 S MAIN ST
GROVE, OK74344-5329
Phone: 918-786-3797
Fax:
Website:
Specialty Taxonomy Code
* Rehabilitation 261QR0400X

* Indicates primary specialty

NPI Profile & details for INTEGRIS AMBULATORY CARE CORPORATION

NPI Number 1477090652
Legal business name
LBN
INTEGRIS AMBULATORY CARE CORPORATION
Authorized official MICHAEL WEED - (TREASURER)
Entity Organization
Organization subpart No
Enumeration date 01/25/2017
Last updated 11/06/2025 - About 7 months ago
Sole proprietor1 Not specified
Identifiers
  • OK Medicaid: 100736700A

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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