Organization
INTEGRIS BAPTIST MEDICAL CENTER INC
Active
Other names
SAMARITAN INFUSION SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
C BRUCE LAWRENCE (PRESIDENT CEO)
(405) 949-6066
Entity
Organization
Contact information
Practice address
3500 NW 56TH ST, 201, OKLAHOMA CITY, OK 73112-4517
(405) 951-8400
Mailing address
3500 NW 56TH ST, 201, OKLAHOMA CITY, OK 73112-4517
(405) 951-8400
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
14142
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100245460B
—
OK
Enumeration date
02/07/2007
Last updated
07/25/2016
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