Organization
INTEGRIS BASS BAPTIST HEALTH CENTER
Active
Other names
INTEGRIS HEALTH MEDICAL GROUP MEDFORD
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA WALLACE (ASSISTANT TREASURER)
(636) 359-4890
Entity
Organization
Contact information
Practice address
158 E SUNSET DR, STE B, MEDFORD, OK 73759-2427
(580) 395-2319
Mailing address
PO BOX 200731, DALLAS, TX 75320-0731
(405) 252-8400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100699500N
—
OK
05
—
100755790A
—
OK
05
—
100755790B
—
OK
Enumeration date
08/10/2005
Last updated
04/14/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us