Integris Bass Baptist Health Center
Organization Active NPI Psychiatric Hospital Unit · Enid, OK
NPI 1285709261 · NPPES record last updated Nov 28, 2011
Key facts
- NPI
- 1285709261
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric Hospital Unit 273R00000X
- License
- 2244 (OK)
- Legal business name
- INTEGRIS BASS BAPTIST HEALTH CENTER
- Practice address
- 2216 S Van Buren St
Enid, OK 73703-8217 - Phone
- (580) 234-2220
- NPI assigned
- Nov 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Carl Bruce Lawrence
- Title
- President, Ceo
- Phone
- (405) 949-6066
Other NPIs on the same Medicare enrollment 17
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | 2244 | OK | Yes |
Addresses
Primary practice location
2216 S Van Buren St
Enid, OK 73703-8217
Mailing address
PO Box 960239
Oklahoma City, OK 73196-0239
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100699500S | Medicaid | OK |
Other names
- Integris Bass Behavioral Health Center RTC
Other providers in Enid, OK
- Integris Bass Baptist Health Center
- Integris Bass Baptist Health Center
- Integris Bass Baptist Health Center
- Integris Bass Baptist Health Center
- Integris Bass Baptist Health Center
- Integris Bass Baptist Health Center
- Integris Bass Baptist Health Center
- Integris Bass Baptist Health Center
- Integris Bass Baptist Health Center
- Integris Bass Baptist Health Center
All providers in Enid, OK · Psychiatric Hospital Unit in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 28, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.