Organization Active NPI

Integris Health

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Moore, OK
National Provider Identifier
1083065452
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
INTEGRIS HEALTH
Practice address
2111 Riverwalk Dr
Moore, OK 73160-2700
Phone
(405) 793-7885
NPI assigned
Jun 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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

Authorized official

Name
Miss Brittny Latrice Sauls
Title
Admissions Access Coordinator
Phone
(405) 793-7885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X OK Primary

Addresses

Primary practice location

2111 Riverwalk Dr
Moore, OK 73160-2700

Mailing address

2111 Riverwalk Dr
Moore, OK 73160-2700
Phone (405) 793-7885

Other identifiers 1

IdentifierTypeStateIssuer
731192765OtherOKCOMMUNITY HEALTH HMO,TRICARE AND HEALTHCHOICE

National Provider Directory

National Provider Directory

Locations

2111 Riverwalk Dr
Moore, OK 73160
Phone (405) 636-7174

NPI Registry JSON

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1083065452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 RIVERWALK DR",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602700",
            "telephone_number": "405-793-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 RIVERWALK DR",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602700",
            "telephone_number": "405-793-7885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRIS HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-28",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "SAULS",
        "authorized_official_first_name": "BRITTNY",
        "authorized_official_middle_name": "LATRICE",
        "authorized_official_title_or_position": "ADMISSIONS ACCESS COORDINATOR",
        "authorized_official_telephone_number": "405-793-7885",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY HEALTH HMO,TRICARE AND HEALTHCHOICE",
            "identifier": "731192765",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.

Verify at the official NPI Registry.