# INTEGRIS BASS BAPTIST HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** INTEGRIS Bass Baptist Emergency Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396216677
- **Authorized official:** BRENT DAVIS (VICE PRESIDENT)
- **Authorized official phone:** (405) 949-3774

## Contact information

- **Practice address:** 707 S MONROE ST, ENID, OK 73701-7286
- **Practice address phone:** (580) 977-1960
- **Practice address fax:** (580) 977-1959
- **Mailing address:** PO BOX 269032, OKLAHOMA CITY, OK 73126-9032
- **Mailing address phone:** (405) 252-8400
- **Mailing address fax:** (405) 713-4322

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QE0002X | Emergency Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/11/2018
- **Last updated:** 12/11/2018