Organization
INTEGRIS BASS BAPTIST HEALTH CENTER
Active
Parent organization
INTEGRIS BASS BAPTIST HEALTH CENTER
Other names
INTEGRIS Hennessey Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTEGRIS BASS BAPTIST HEALTH CENTER
Authorized official
CHRIS HAMMES (SENIOR VICE PRESIDENT & COO)
(405) 949-3402
Entity
Organization
Contact information
Practice address
300 N CHEROKEE ST, HENNESSEY, OK 73742-1106
(405) 853-7171
Mailing address
5400 N INDEPENDENCE AVE STE 200, OKLAHOMA CITY, OK 73112-5300
(405) 713-5515
(405) 713-5532
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/30/2020
Last updated
04/12/2021
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