# INTEGRIS RURAL HEALTH INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** David W Vanhooser MD Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174509699
- **Authorized official:** JEFFREY M BROWN (VP REGIONAL PHYSICIAN PRACTICE MGMT)
- **Authorized official phone:** (580) 548-1367

## Contact information

- **Practice address:** 707 S MONROE ST, ENID, OK 73701-7286
- **Practice address phone:** (580) 616-7634
- **Practice address fax:** (580) 237-7516
- **Mailing address:** PO BOX 960097, OKLAHOMA CITY, OK 73196-0097
- **Mailing address phone:** (580) 548-1367
- **Mailing address fax:** (580) 548-1583

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/16/2005
- **Last updated:** 02/25/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200058050A | — | OK |
| 01 | — | 200069200M | OK MEDICAID OSUFFS | OK |
| 05 | — | 200308850B | — | KS |