Organization
INTEGRIS BASS BAPTIST HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL BRUCE LAWRENCE (PRESIDENT/CEO)
(406) 949-6066
Entity
Organization
Contact information
Practice address
600 S MONROE ST, ENID, OK 73701-7211
(580) 233-2300
Mailing address
5400 N INDEPENDENCE AVE, #100, OKLAHOMA CITY, OK 73112-5310
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
2244
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100699500A
—
OK
Enumeration date
08/17/2006
Last updated
10/12/2011
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