INTEGRIS SOUTH OKLAHOMA CITY CORPORATION; NPI #1801819099

Contact Information

INTEGRIS SOUTH OKLAHOMA CITY CORPORATION

4100 S DOUGLAS AVE
OKLAHOMA CITY, OK 73109-3210

Phone: 405-644-5445
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 SOUTH OKLAHOMA CITY CORPORATION

NPI # 1801819099

LBN Legal business name INTEGRIS SOUTH OKLAHOMA CITY CORPORATION

Authorized official STANLEY HUPFELC - (PRESIDENT/CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/26/2006

Last updated 05/14/2008 - About 18 years ago

Identifiers

OK	License #	2289
OK	Medicaid	100700200A

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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