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Organization

INTEGRIS SOUTH OKLAHOMA CITY HOSPITAL CORPORATION

Active
Other names
Integris Jim Thorpe Inpatient Rehabilitation
Organization subpart
No

Provider details

NPI number
Authorized official
CHRIS HAMMES (CFO)
(405) 949-3402
Entity
Organization

Contact information

Practice address
4401 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3413
(405) 644-5200
Mailing address
5400 N INDEPENDENCE AVE, 100, OKLAHOMA CITY, OK 73112-5300

Taxonomy

Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
2289
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100700200A
OK
05
100700200R
OK
Enumeration date
08/17/2006
Last updated
07/02/2021
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