# INTERGRATED COMPREHENSIVE HEALTH CARE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255621173
- **Authorized official:** MS. AMY HANSARD (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (405) 495-6200

## Contact information

- **Practice address:** 8101 NW 10TH ST, SUITE B ROOM 7&8, OKLAHOMA CITY, OK 73127-2974
- **Practice address phone:** (405) 495-6200
- **Mailing address:** 8101 NW 10TH ST, SUITE B ROOM 7&8, OKLAHOMA CITY, OK 73127-2974
- **Mailing address phone:** (405) 495-6200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/12/2011
- **Last updated:** 11/15/2011
