Organization
INTEGRIS BAPTIST REGIONAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL BRUCE LAWRENCE (PRESIDENT CEO)
(405) 949-6066
Entity
Organization
Contact information
Practice address
200 2ND AVE SW, MIAMI, OK 74354-6830
(918) 542-6611
Mailing address
PO BOX 960400, OKLAHOMA CITY, OK 73196-0400
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
2193
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100699440A
—
OK
Enumeration date
05/15/2007
Last updated
11/28/2011
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