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Contact Information

INTEGRIS BLACKWELL REGIONAL HOSPITAL
710 S 13TH ST
BLACKWELL, OK74631-3700
 Phone: 580-363-2311
 Fax: 580-363-9463
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for INTEGRIS BLACKWELL REGIONAL HOSPITAL

NPI # 1316175755
LBN Legal business name INTEGRIS BLACKWELL REGIONAL HOSPITAL
Authorized official JEFFREY BROWN - (VP REGIONAL PHY PRACT MGMT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/24/2009
Last updated 04/13/2011 - About 15 years ago
Identifiers
OK License # PENDING
OK Medicaid 100700340D
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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