Active NPI
Integris Health
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Moore, OK
National Provider Identifier
1083065452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 731192765 | Other | OK | COMMUNITY HEALTH HMO,TRICARE AND HEALTHCHOICE |
National Provider Directory
National Provider DirectoryLocations
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.