Active NPI
Integris Baptist Medical Center Inc
Doing business as Samaritan Infusion Services
- Home Infusion Therapy Pharmacy
- Oklahoma City, OK
National Provider Identifier
1003835018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Therapy Pharmacy
- License
- 1-7291
- Legal business name
- INTEGRIS BAPTIST MEDICAL CENTER INC
- Doing business as
- Samaritan Infusion Services
- Practice address
- 3500 NW 56TH St
Suite 201
Oklahoma City, OK 73112-4529 - Phone
- (405) 951-8400
- Fax
- (405) 951-8077
- NPI assigned
- Jul 19, 2006
- Last updated
- Oct 7, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chad Reese
- Title
- Supervisor
- Phone
- (405) 951-8438
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Therapy Pharmacy | 3336H0001X | 1-7291 | OK | Primary |
Addresses
Primary practice location
3500 NW 56TH St
Suite 201
Oklahoma City, OK 73112-4529
Mailing address
3500 NW 56TH St
Suite 201
Oklahoma City, OK 73112-4529
Phone (405) 951-8400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100245460B | Medicaid | OK | |
| 2076179 | Other | PK | |
| 100245460A | Medicaid | OK |
Other names 1
- SAMARITAN INFUSION SERVICES
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1475798400000",
"number": "1003835018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 NW 56TH ST",
"address_2": "SUITE 201",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731124529",
"telephone_number": "405-951-8400",
"fax_number": "405-951-8077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 NW 56TH ST",
"address_2": "SUITE 201",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731124529",
"telephone_number": "405-951-8400",
"fax_number": "405-951-8077"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRIS BAPTIST MEDICAL CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-19",
"last_updated": "2016-10-07",
"status": "A",
"authorized_official_last_name": "REESE",
"authorized_official_first_name": "CHAD",
"authorized_official_title_or_position": "SUPERVISOR",
"authorized_official_telephone_number": "405-951-8438"
},
"taxonomies": [
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": "OK",
"license": "1-7291",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100245460B",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2076179",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100245460A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SAMARITAN INFUSION SERVICES",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oklahoma City, OK
- Integris Baptist Associates
- Integris Baptist Medical Center (Dr Karl K Boatman MD)
- Integris Baptist Medical Center
- Integris Baptist Medical Center
- Integris Baptist Medical Center
- Integris Baptist Medical Center Inc (Integris Health Medical Supply)
- Integris Baptist Medical Center Inc (Samaritan Infusion Services)
- Integris Baptist Medical Center Inc (INTEGRIS Decisions Mental Health and Addiction Recovery Programs)
- Integris Baptist Medical Center Inc (INTEGRIS Health Portland Ave Pharmacy)
- Integris Baptist Medical Center Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.