Integris Baptist Regional Health Center

Primary specialty

Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X

License

2193 Issued in OK

Legal business name

INTEGRIS BAPTIST REGIONAL HEALTH CENTER

Practice address

200 2ND Ave SW
Miami, OK 74354-6830

Phone

(918) 542-6611

NPI assigned

May 15, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carl Bruce Lawrence

Title

President Ceo

Phone

(405) 949-6066

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1023224169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 960400",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731960400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 2ND AVE SW",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743546830",
            "telephone_number": "918-542-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRIS BAPTIST REGIONAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "405-949-6066"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "OK",
            "license": "2193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100699440A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Ann Hurley, BSW
• Muzaffar Hussain, MD
• Jon Ingham, B.A
• Innovative Mobile Services LLC
• Integris
• Integris Baptist Regional Health Center
• Integris Baptist Regional Health Center
• Integris Baptist Regional Health Center
• Integris Miami Hospital
• Integris Miami Hospital

• Medicare Defined Swing Bed Hospital Unit in Miami, OK
• Providers in Miami, OK by specialty
• Medicare Defined Swing Bed Hospital Unit in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.