# INTEGRIS BASS BAPTIST HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** INTEGRIS NW Family Medicine Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003050410
- **Authorized official:** GREG A MEYERS (SENIOR)
- **Authorized official phone:** (580) 977-1831

## Contact information

- **Practice address:** 620 S MADISON ST, SUITE 209, ENID, OK 73701-7273
- **Practice address phone:** (580) 548-1544
- **Practice address fax:** (580) 548-1590
- **Mailing address:** PO BOX 5038, ENID, OK 73702-5038
- **Mailing address phone:** (580) 548-1367
- **Mailing address fax:** (580) 548-1537

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/29/2009
- **Last updated:** 12/16/2013