NPIMap

Organization Active NPI

Integris Bass Baptist Health Center

Doing business as Integris Health Enid Hospital

  • General Acute Care Hospital
  • Enid, OK
National Provider Identifier
1144236571
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
2244 Issued in OK
Legal business name
INTEGRIS BASS BAPTIST HEALTH CENTER
Doing business as
Integris Health Enid Hospital
Practice address
600 S Monroe St
Enid, OK 73701-7211
Phone
(580) 233-2300
NPI assigned
Jul 31, 2006
Last updated
Oct 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
Donna Wallace
Title
Assistant Treasurer
Phone
(636) 359-4890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 2244 OK Primary

Addresses

Primary practice location

600 S Monroe St
Enid, OK 73701-7211

Mailing address

PO Box 200731
Dallas, TX 75320-0731
Phone (405) 252-8400

Other identifiers 2

IdentifierTypeStateIssuer
100699500AMedicaidOK
100699500BMedicaidOK

Other names 1

  • INTEGRIS HEALTH ENID HOSPITAL Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address INTEGRIS@DIRECT.INTEGRISOK.COM Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031103000717 OK Part B Supplier - Clinic/Group Practice 0345151981 Receives reassigned benefits from 28 practitioners
17 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Medford, OK; Hennessey, OK; Enid, OK
O20060511000440 OK Part A Provider - Hospital 0345151981 Practice locations: Enid, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144236571. Details of each certification follow.

Hospital certification: CCN 370016

Legal name
INTEGRIS BASS BAPTIST HEALTH CENTER
Doing business as
INTEGRIS HEALTH ENID HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jan 24, 2025
Beds
183 (162 certified)
Ownership / control type
Private (not for profit)
Organization structure
LLCNon-profit
Incorporated
Feb 1, 1994 in OK
Enrollment address
600 S Monroe St
Enid, OK 73701-7211
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 17

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 17

Care Compare: Hospital

Medicare Care Compare
Listed as
Integris Health Enid HospitalCCN 370016 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D0472533Integris Health Enid Hospital600 South Monroe, Enid, OK 73701AccreditationAug 16, 2027

National Provider Directory

National Provider Directory
Tax ID family
Bass Memorial Baptist Hospital Dba Integris Bass Baptist Health Center9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 22

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Christina Hopper Individual Corporate Officer Jul 1, 2024
Corporate Director Jul 1, 2024
Donna M Wallace Individual Corporate OfficerAssistant Treasurer Oct 27, 2023
Mark a McCulley Individual Corporate Director Jul 1, 2020
Christopher a Shearer Individual Corporate Director Apr 20, 2005
Brian D Atwood Individual Corporate Director Jan 1, 2002
Michael S Jackson Individual Corporate Officer May 1, 2019
Jason Turnbow Individual Corporate Director Jul 1, 2024
Michael L Weed Individual Corporate OfficerTreasurer Jan 1, 2023
Justin L Funk Individual Corporate Director Jul 1, 2024
Megan J Darrow Individual Corporate Director Jul 1, 2021
Casey Ahlden Individual Corporate Officer Jan 1, 2023
Integris Health Inc Organization, Oklahoma City, OK Non-profit, Chain home office Operational/Managerial Control Jul 1, 1994
Brent Hubbard Individual Corporate Officer Jul 1, 2022
Corporate Director Jul 1, 2022
John R Bullis Individual Corporate Officer Jul 1, 2024
Corporate Director Jul 1, 2021
Baptist Healthcare of Oklahoma LLC Organization, Oklahoma City, OK LLC, Non-profit Operational/Managerial Control Jun 7, 1978
Brian Winter Individual Corporate Director Jul 1, 2024
Keaton Francis Individual Contracted Managing EmployeeChe Jan 9, 2023
Corporate OfficerChe Jan 9, 2023
Operational/Managerial ControlChe Jan 9, 2023
Integris Rural Health Inc Organization, Oklahoma City, OK Corporation, Non-profit Operational/Managerial Control Jul 1, 1994
Jonathan C Bartley Individual Corporate Officer Jul 1, 2024
Corporate Director Jul 1, 2020
Aaron Harmon Individual Corporate Director Jul 1, 2024
Casey Felix Individual Corporate DirectorBoard Member Jul 1, 2018
Best Chen Individual Contracted Managing EmployeePresident of Medical Staff Jul 1, 2024
Corporate Officer Jul 1, 2024
Corporate Director Jul 1, 2024
Operational/Managerial ControlPresident of Medical Staff Jul 1, 2024

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 31

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 31

Practitioners & affiliated clinicians

Practitioners 70

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 70

Affiliated clinicians 307

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 307

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1144236571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200731",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753200731",
            "telephone_number": "405-252-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S MONROE ST",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737017211",
            "telephone_number": "580-233-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRIS BASS BAPTIST HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "ASSISTANT TREASURER",
        "authorized_official_telephone_number": "636-359-4890"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OK",
            "license": "2244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100699500A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100699500B",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "INTEGRIS@DIRECT.INTEGRISOK.COM",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "600 S Monroe St",
            "city": "Enid",
            "state": "OK",
            "country_code": "US",
            "postal_code": "737017211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "INTEGRIS HEALTH ENID HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Enid, OK

Sources for this page

Verify at the official NPI Registry.