INTEGRIS BAPTIST REGIONAL HEALTH CENTER ER PHYSICIAN – NPI #1811952963
Clinic/Center

INTEGRIS BAPTIST REGIONAL HEALTH CENTER ER PHYSICIAN is an AHC clinic located in MIAMI, OK. NPPES has assigned the NPI number 1811952963 to INTEGRIS BAPTIST REGIONAL HEALTH CENTER ER PHYSICIAN on April 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “INTEGRIS BAPTIST REGIONAL HEALTH CENTER ER PHYSICIAN” is a dba name, the actual legal business name for this organization is INTEGRIS BAPTIST REGIONAL HEALTH CENTER. The primary taxonomy selected by this provider is 261QE0002X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Emergency Care

The NPI profile was previously updated about 15 years ago on Apr 08, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for INTEGRIS BAPTIST REGIONAL HEALTH CENTER ER PHYSICIAN below.

NPI Profile for
INTEGRIS BAPTIST REGIONAL HEALTH CENTER

NPI Number
1811952963
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
INTEGRIS BAPTIST REGIONAL HEALTH CENTER
Doing Business As (dba): INTEGRIS BAPTIST REGIONAL HEALTH CENTER ER PHYSICIAN
Primary location
200 2ND AVE SW
MIAMI, OK 74354
Phone: (918) 542-6611 Fax: (405) 553-5633
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOEL HART
PRESIDENT
Phone: (918) 542-6611
Updated
Identifiers

Identifiers for INTEGRIS BAPTIST REGIONAL HEALTH CENTER ER PHYSICIAN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMO500156005
MEDICAIDOK100699440M
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0002X
- Clinic/Center / Emergency Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.