# INTEGRIS BASS BAPTIST HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Integris Home Care Enid
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700807997
- **Authorized official:** DONNA WALLACE (ASSISTANT TREASURER)
- **Authorized official phone:** (636) 359-4890

## Contact information

- **Practice address:** 401 S 3RD ST, ENID, OK 73701-5737
- **Practice address phone:** (580) 548-1116
- **Mailing address:** PO BOX 200731, DALLAS, TX 75320-0731
- **Mailing address phone:** (405) 252-8319

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 2244 | OK | Yes |

## Other

- **Enumeration date:** 07/22/2006
- **Last updated:** 08/12/2024