INTEGRIS BASS BAPTIST HEALTH CENTER – NPI #1124029293
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

INTEGRIS BASS BAPTIST HEALTH CENTER is a provider located in WAYNOKA, OK. NPPES has assigned the NPI number 1124029293 to INTEGRIS BASS BAPTIST HEALTH CENTER on August 10, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Apr 07, 2025. 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 BASS BAPTIST HEALTH CENTER below.

NPI Profile for
INTEGRIS BASS BAPTIST HEALTH CENTER

NPI Number
1124029293
Enumeration Date

(about 21 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 BASS BAPTIST HEALTH CENTER
Primary location
1084 NICKERSON ST
WAYNOKA, OK 73860-1245
Phone: (580) 824-2281 Fax:
Mailing address
PO BOX 200731
DALLAS, TX 75320-0731
Phone: (405) 252-8400 Fax:
Organization Subpart
No
Authorized Official
DONNA WALLACE
ASSISTANT TREASURER
Phone: (636) 359-4890
Updated
Certification Date
Apr 07, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for INTEGRIS BASS BAPTIST HEALTH CENTER

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
medicaidOK100755790C
medicaidOK100699500K
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
207Q00000X
- Family Medicine (Primary)
261QR1300X
- Clinic/Center / Rural Health

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.