Organization
INTEGRIS BAPTIST REGIONAL HEALTH CENTER
Active
Other names
Integris Baptist Regional Health Center ER Physician
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL A HART (PRESIDENT)
(918) 542-6611
Entity
Organization
Contact information
Practice address
200 2ND AVE SW, MIAMI, OK 74354
(918) 542-6611
(405) 553-5633
Mailing address
200 2ND AVE SW, MIAMI, OK 74354
(918) 542-6611
(405) 533-5633
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100699440M
—
OK
05
—
500156005
—
MO
Enumeration date
04/20/2006
Last updated
04/08/2011
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