Organization
INTEGRIS HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BRITTNY LATRICE SAULS (ADMISSIONS ACCESS COORDINATOR)
(405) 793-7885
Entity
Organization
Contact information
Practice address
2111 RIVERWALK DR, MOORE, OK 73160-2700
(405) 793-7885
Mailing address
2111 RIVERWALK DR, MOORE, OK 73160-2700
(405) 793-7885
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
731192765
COMMUNITY HEALTH HMO,TRICARE AND HEALTHCHOICE
OK
Enumeration date
06/28/2016
Last updated
06/28/2016
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