INTEGRIS HEALTH PONCA CITY HOSPITAL INC NPI 1528830163

NPI Information

NPI: 1528830163
Provider Name: INTEGRIS HEALTH PONCA CITY HOSPITAL INC

Doing Business As: INTEGRIS HEALTH MEDICAL GROUP

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
1908 N 14TH ST STE 203
PONCA CITY, OK
ZIP 74601
Phone: (580) 718-4501
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INTEGRIS HEALTH PONCA CITY HOSPITAL INC is a rural health clinic center in Ponca City, OK. INTEGRIS HEALTH PONCA CITY HOSPITAL INC NPI is 1528830163. The provider is registered as an organization entity type.
The provider Is Doing Business As Integris Health Medical Group.

The provider's business location address is:

1908 N 14TH ST STE 203
PONCA CITY, OK
ZIP 74601-039
Phone: (580) 718-4501

The provider's authorized official is Donna Wallace .
The authorized official title is Assistant Treasurer and has the following contact phone number (636) 359-4890.

The CLIA number assigned to this NPI record is 37D2296852 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/26/2023 and was last updated on 12/21/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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