INTEGRIS AMBULATORY CARE CORPORATION; NPI #1477090652

Contact Information

INTEGRIS AMBULATORY CARE CORPORATION

2203 S MAIN ST
GROVE, OK 74344-5329

Phone: 918-786-3797
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rehabilitation	261QR0400X	B4[14]	Rehabilitation Agency

Indicates primary specialty

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NPI Profile & details for INTEGRIS AMBULATORY CARE CORPORATION

NPI # 1477090652

LBN Legal business name INTEGRIS AMBULATORY CARE CORPORATION

Authorized official MICHAEL WEED - (TREASURER)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/25/2017

Last updated 11/06/2025 - About 7 months ago

Identifiers

Medicaid

100736700A

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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INTEGRIS AMBULATORY CARE CORPORATION

Contact Information

Specialty

Rehabilitation

NPI Profile & details for INTEGRIS AMBULATORY CARE CORPORATION

Reviews for INTEGRIS AMBULATORY CARE CORPORATION