National Provider Identifier Database

INTEGRIS AMBULATORY CARE CORPORATION
Rehabilitation


Contact Information

INTEGRIS AMBULATORY CARE CORPORATION
3400 N MUELLER AVE
BETHANY, OK73008-3950
Phone: 405-633-9063
Fax:
Website:
Specialty Taxonomy Code
* Rehabilitation 261QR0400X

* Indicates primary specialty

NPI Profile & details for INTEGRIS AMBULATORY CARE CORPORATION

NPI Number 1922748086
Legal business name
LBN
INTEGRIS AMBULATORY CARE CORPORATION
Authorized official MICHAEL WEED - (TREASURER)
Entity Organization
Organization subpart No
Enumeration date 03/29/2022
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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