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Organization
INTEGRIS BASS BAPTIST HEALTH CENTER
Active
Organization
INTEGRIS BASS BAPTIST HEALTH CENTER
Active
Other names
INTEGRIS Caldwell Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS HAMMES (SENIOR VICE PRESIDENT & COO)
(405) 949-3402
Entity
Organization
Contact information
Practice address
415 S OSAGE ST, CALDWELL, KS 67022-1650
(620) 845-2516
Mailing address
5400 N INDEPENDENCE AVE STE 200, OKLAHOMA CITY, OK 73112-5300
(405) 713-5515
(405) 713-5532
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100100440 C
KS MEDICAID RHC
KS
01
—
100100440 D
KS MEDICAID FFS
KS
01
—
100193490E
OK MEDICAID SC
OK
01
—
100699500P
OK MEDICAID RHC
OK
05
—
100699500P
—
OK
01
—
100755850B
OK MEDICAID FFS
OK
01
—
460169
KS RHC CHILD MERCY
KS
Enumeration date
08/09/2005
Last updated
03/29/2022
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