Active NPI
Integrated Comprehensive Health Care
- Community/Behavioral Health Agency
- Oklahoma City, OK
National Provider Identifier
1306190327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 200406740A
- Legal business name
- INTEGRATED COMPREHENSIVE HEALTH CARE
- Practice address
- 4801 N Classen Blvd
Suite 122
Oklahoma City, OK 73118-4627 - Phone
- (405) 843-7300
- NPI assigned
- Oct 29, 2012
- 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
- Ms. Amy Hope Hansard, NONE
- Title
- Ceo
- Phone
- (405) 843-7300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 200406740A | OK | Primary |
Addresses
Primary practice location
4801 N Classen Blvd
Suite 122
Oklahoma City, OK 73118-4627
Mailing address
4801 N Classen Blvd
Suite 122
Oklahoma City, OK 73118-4627
Phone (405) 843-7300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200406740A | Medicaid | OK |
National Provider Directory
National Provider Directory- Tax ID family
- Integrated Comprehensive Health Care
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Oklahoma City, OK
- NPI 1962791277
-
- Community Health Clinic/Center
- Oklahoma City, OK
- NPI 1255621173
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counselor
- Tulsa, OK
- NPI 1740524487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1351468800000",
"number": "1306190327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 N CLASSEN BLVD",
"address_2": "SUITE 122",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731184627",
"telephone_number": "405-843-7300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 N CLASSEN BLVD",
"address_2": "SUITE 122",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731184627",
"telephone_number": "405-843-7300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATED COMPREHENSIVE HEALTH CARE",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-29",
"last_updated": "2012-10-29",
"status": "A",
"authorized_official_last_name": "HANSARD",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "HOPE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "405-843-7300",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "NONE"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "OK",
"license": "200406740A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200406740A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.