NPIMap

Organization Active NPI

Integris Bass Baptist Health Center

  • Family Medicine Physician
  • Garber, OK
National Provider Identifier
1528060019
Registry record updated Dec 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
INTEGRIS BASS BAPTIST HEALTH CENTER
Practice address
316 Main St
PO BX 659
Garber, OK 73738-0659
Phone
(580) 863-2204
Fax
(580) 863-5309
NPI assigned
Aug 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2013

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

Authorized official

Name
Greg A Meyers
Title
Senior Vice President
Phone
(580) 977-1831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

316 Main St
PO BX 659
Garber, OK 73738-0659

Mailing address

PO Box 5038
Enid, OK 73702-5038
Phone (580) 548-1367

Other identifiers 3

IdentifierTypeStateIssuer
100699500OMedicaidOK
100699500ZOtherOKOK MEDICAID SC
100755850AOtherOKOK MEDICAID FFS

Other names 1

  • Garber Family Clinic Doing business as

Medicare participation

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

Enrollment records 1

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

Other NPIs on the same Medicare enrollment 17

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

View all 17

National Provider Directory

National Provider Directory

Locations

2201 NW 150th St
Ste 100
Edmond, OK 73013
Phone (405) 938-2006

620 S Monroe St
Ste 301
Enid, OK 73701

620 S Madison St
Ste 107
Enid, OK 73701
Phone (580) 213-9786

620 S Madison St
Enid, OK 73701
Phone (580) 213-9741

121 W Owen K Garriott Rd
Ste A
Enid, OK 73701
Phone (580) 237-7869

620 S Madison St
Ste 105
Enid, OK 73701
Phone (580) 213-9730

620 S Madison St
Ste 301
Enid, OK 73701
Phone (580) 233-6350

750 SW 19th St
Ste A
Moore, OK 73160
Phone (405) 666-9860

1431 24th Ave NW
Norman, OK 73069
Phone (405) 573-5400

620 S Madison St
Ste 209
North Enid, OK 73701
Phone (580) 233-5553

3433 NW 56th St
Ste 900
Oklahoma City, OK 73112
Phone (405) 552-0401

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387324800000",
    "number": "1528060019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5038",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737025038",
            "telephone_number": "580-548-1367",
            "fax_number": "580-548-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 MAIN ST",
            "address_2": "PO BX 659",
            "city": "GARBER",
            "state": "OK",
            "postal_code": "737380659",
            "telephone_number": "580-863-2204",
            "fax_number": "580-863-5309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRIS BASS BAPTIST HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-15",
        "last_updated": "2013-12-18",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "580-977-1831"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100699500O",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK MEDICAID SC",
            "identifier": "100699500Z",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK MEDICAID FFS",
            "identifier": "100755850A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garber Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garber, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.