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Organization
INTEGRIS SOUTH OKLAHOMA CITY HOSPITAL CORPORATION
Active
Organization
INTEGRIS SOUTH OKLAHOMA CITY HOSPITAL CORPORATION
Active
Other names
Integris Jim Thorpe Inpatient Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS HAMMES (CFO)
(405) 949-3402
Entity
Organization
Contact information
Practice address
4401 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3413
(405) 644-5200
Mailing address
5400 N INDEPENDENCE AVE, 100, OKLAHOMA CITY, OK 73112-5300
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
2289
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100700200A
—
OK
05
—
100700200R
—
OK
Enumeration date
08/17/2006
Last updated
07/02/2021
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