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Organization

INTEGRIS MIAMI HOSPITAL

Active
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Organization

INTEGRIS MIAMI HOSPITAL

Active
Other names
Integris Miami Hospital
Organization subpart
No

Provider details

NPI number
Authorized official
DONNA MARIE WALLACE (VP FINANCE)
(636) 359-4890
Entity
Organization

Contact information

Practice address
200 2ND AVE SW, MIAMI, OK 74354-6830
(918) 542-6611
Mailing address
5400 N INDEPENDENCE AVE, SUITE 100, OKLAHOMA CITY, OK 73112-5310

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
2193
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010156008
—
MO
05
—
100242850A
—
KS
05
—
100699440A
—
OK
05
—
100699440B
—
OK
05
—
100699440C
—
OK
Enumeration date
07/27/2006
Last updated
06/10/2025
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