Organization
INTEGRIS MIAMI HOSPITAL
Active
Other names
Integris Miami EMS
Organization subpart
No
Provider details
NPI number
Authorized official
CARL BRUCE LAWRENCE (PRESIDENT CEO)
(405) 949-6066
Entity
Organization
Contact information
Practice address
200 2ND AVE SW, MIAMI, OK 74354-6830
(918) 542-6611
Mailing address
200 2ND AVE SW, MIAMI, OK 74354-6830
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
2193
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100242850B
—
KS
05
—
100699440B
—
OK
05
—
800156002
—
MO
Enumeration date
02/14/2007
Last updated
03/24/2017
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