Organization
INTEGRIS AMBULATORY CARE CORPORATION
Active
Other names
INTEGRIS Health Jim Thorpe Outpatient Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL L WEED (TREASURER)
(405) 951-2737
Entity
Organization
Contact information
Practice address
2203 S MAIN ST, GROVE, OK 74344-5329
(918) 786-3797
Mailing address
PO BOX 843754, KANSAS CITY, MO 64184-3754
(405) 252-8400
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100736700A
—
OK
Enumeration date
01/25/2017
Last updated
11/06/2025
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