Organization
INTEGRIS BASS BAPTIST HEALTH CENTER
Active
Other names
Garber Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
GREG A MEYERS (SENIOR VICE PRESIDENT)
(580) 977-1831
Entity
Organization
Contact information
Practice address
316 MAIN ST, PO BX 659, GARBER, OK 73738-0659
(580) 863-2204
(580) 863-5309
Mailing address
PO BOX 5038, ENID, OK 73702-5038
(580) 548-1367
(580) 548-1537
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100699500O
—
OK
01
—
100699500Z
OK MEDICAID SC
OK
01
—
100755850A
OK MEDICAID FFS
OK
Enumeration date
08/15/2005
Last updated
12/18/2013
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