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INTEGRIS BASS BAPTIST HEALTH CENTER NPI 1659971398


NPI Information

NPI: 1659971398
Provider Name: INTEGRIS BASS BAPTIST HEALTH CENTER

Doing Business As: INTEGRIS HENNESSEY MEDICAL CLINIC

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

Specialization: Rural Health

CLIA Number: 37D0472679

Address:
300 N CHEROKEE ST
HENNESSEY, OK
ZIP 73742
Phone: (405) 853-7171
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INTEGRIS BASS BAPTIST HEALTH CENTER is a rural health clinic center in Hennessey, OK. INTEGRIS BASS BAPTIST HEALTH CENTER NPI is 1659971398. The provider is registered as an organization entity type.
The provider Is Doing Business As Integris Hennessey Medical Clinic.

The provider's business location address is:

300 N CHEROKEE ST
HENNESSEY, OK
ZIP 73742-106
Phone: (405) 853-7171

The provider's authorized official is Chris Hammes .
The authorized official title is Senior Vice President & Coo and has the following contact phone number (405) 949-3402.

The CLIA number assigned to this NPI record is 37D0472679 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/30/2020 and was last updated on 4/12/2021.


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
1261QR1300XClinic/CenterRural HealthYes

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

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