Organization
INTEGRIS BASS BAPTIST HEALTH CENTER
Active
Other names
Integris Bass Behavioral Health Center Acute
Organization subpart
No
Provider details
NPI number
Authorized official
CARL BRUCE LAWRENCE (PRESIDENT, CEO)
(405) 949-6066
Entity
Organization
Contact information
Practice address
2216 S VAN BUREN ST, ENID, OK 73703-8217
(580) 234-2220
Mailing address
PO BOX 960239, OKLAHOMA CITY, OK 73196-0001
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
2244
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100699500A
—
OK
Enumeration date
11/24/2006
Last updated
11/29/2011
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