Organization
INTEGRIS BASS BAPTIST HEALTH CENTER
Active
Other names
INTEGRIS Caldwell Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS HAMMES (SENIOR VICE PRESIDENT & COO)
(405) 949-3402
Entity
Organization
Contact information
Practice address
415 S OSAGE ST, CALDWELL, KS 67022-1650
(620) 845-2516
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
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100100440 C
KS MEDICAID RHC
KS
01
—
100100440 D
KS MEDICAID FFS
KS
01
—
100193490E
OK MEDICAID SC
OK
01
—
100699500P
OK MEDICAID RHC
OK
05
—
100699500P
—
OK
01
—
100755850B
OK MEDICAID FFS
OK
01
—
460169
KS RHC CHILD MERCY
KS
Enumeration date
08/09/2005
Last updated
03/29/2022
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