NPIMap

Organization Active NPI

Integris Baptist Medical Center Inc

  • Customized Equipment (DME)
  • Oklahoma City, OK
National Provider Identifier
1366722183
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
INTEGRIS BAPTIST MEDICAL CENTER INC
Practice address
4120 N Portland Ave
Oklahoma City, OK 73112-6311
Phone
(405) 945-4411
NPI assigned
Aug 24, 2011
Organization subpart
Yes
Parent organization
INTEGRIS BAPTIST MEDICAL CENTER INCAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Michael L Weed
Title
Treasurer
Phone
(405) 951-2737

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 2

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

Corporate family (same tax ID) 12

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

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Integris Health Medical Supply4120 N Portland Ave, Oklahoma City, OK 73112-6311(405) 945-4411 Canes and/or Crutches|Orthoses: Off-The-Shelf|Tracheotomy Supplies|Continuous Positive Airway Pressure (CPAP) Devices|Mechanical In-Exsufflation Devices|Nebulizer Equipment and/or Supplies|Respiratory Assist Devices|Respiratory Suction Pumps|Ventilators Accessories and/or Supplies Accepts assignmentParticipating since Dec 5, 2018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

All facility ownership & control disclosures 1

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Integris Home Care Oklahoma CityOklahoma City, OK, CCN 377051 Home health agency 5% Or Greater Direct Ownership Interest (100%) Aug 31, 2007

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20111222000549 OK DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Respiratory Therapist 8820999089 Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory
Tax ID family
Integris Baptist Medical Center Inc (13 organizations share this tax ID)
Part of
Integris Baptist Medical Center Inc

Locations

4120 N Portland Ave
Oklahoma City, OK 73112
Phone (405) 605-1466

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary
Oxygen Equipment & Supplies (DME) 332BX2000X

Addresses

NPPES NPI Registry

Primary practice location

4120 N Portland Ave
Oklahoma City, OK 73112-6311

Mailing address

4120 N Portland Ave
Oklahoma City, OK 73112-6311
Phone (405) 945-4411

Other names 2

NPPES NPI Registry
  • INTEGRIS HEALTH MEDICAL SUPPLY Doing business as
  • INTEGRIS Medical Supply Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 18, 2025.

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766016000000",
    "number": "1366722183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 N PORTLAND AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731126311",
            "telephone_number": "405-945-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 N PORTLAND AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731126311",
            "telephone_number": "405-945-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRIS BAPTIST MEDICAL CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTEGRIS BAPTIST MEDICAL CENTER INC",
        "enumeration_date": "2011-08-24",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A",
        "authorized_official_last_name": "WEED",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "405-951-2737"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTEGRIS HEALTH MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "INTEGRIS Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.