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Organization
INTEGRIS BASS BAPTIST HEALTH CENTER
Active
Organization
INTEGRIS BASS BAPTIST HEALTH CENTER
Active
Other names
INTEGRIS HEALTH MEDICAL GROUP MEDFORD
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA WALLACE (ASSISTANT TREASURER)
(636) 359-4890
Entity
Organization
Contact information
Practice address
158 E SUNSET DR, STE B, MEDFORD, OK 73759-2427
(580) 395-2319
Mailing address
PO BOX 200731, DALLAS, TX 75320-0731
(405) 252-8400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/10/2005
Last updated
04/14/2025
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