Organization
INTEGRIS GROVE HOSPITAL
Active
Other names
Integris Grove EMS
Organization subpart
No
Provider details
NPI number
Authorized official
CARL BRUCE LAWRENCE (PRESIDENT CEO)
(405) 949-3177
Entity
Organization
Contact information
Practice address
701 E 13TH STREET, GROVE, OK 74344
(918) 786-2243
Mailing address
5400 N INDEPENDENCE, SUITE 100, OKLAHOMA CITY, OK 73112-5300
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
2184
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100699700D
—
OK
Enumeration date
02/14/2007
Last updated
01/26/2024
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