Active NPI
Integris Baptist Medical Center Inc
Doing business as INTEGRIS Decisions Mental Health and Addiction Recovery Programs
- Psychiatric Hospital Unit
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital Unit
- License
- 2290
- Legal business name
- INTEGRIS BAPTIST MEDICAL CENTER INC
- Doing business as
- INTEGRIS Decisions Mental Health and Addiction Recovery Programs
- Practice address
- 3525 NW 56TH St Ste 150a
Oklahoma City, OK 73112-4548 - Phone
- (405) 717-9840
- NPI assigned
- Nov 15, 2006
- Last updated
- Jul 2, 2021
- 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
- Michael Weed
- Title
- VP
- Phone
- (405) 951-2737
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | 2290 | OK | Primary |
Addresses
Primary practice location
3525 NW 56TH St Ste 150a
Oklahoma City, OK 73112-4548
Mailing address
PO Box 268907
Oklahoma City, OK 73126-8907
Phone (405) 717-9840
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100806400B | Medicaid | OK |
Other names 1
- INTEGRIS Decisions Mental Health and Addiction Recovery Programs
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | INTEGRIS@DIRECT.INTEGRISOK.COM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080516000667 | OK | Part A Provider - Hospital | 8820999089 |
3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Spencer, OK; Oklahoma City, OK |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1598837221. Details of each certification follow.
Hospital certification: CCN 370028
- Legal name
- INTEGRIS BAPTIST MEDICAL CENTER INC
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jun 15, 1978
- Last certification
- Dec 6, 2024
- Beds
- 876
- Ownership / control type
- Private (not for profit)
- Most recent change of ownership
- Jul 1, 1998 (1 total)
- Organization structure
- Corporation
- Incorporated
- Dec 16, 1977 in OK
- Enrollment address
- 3300 NW Expressway
Oklahoma City, OK 73112-4418 - Hospital subgroups
- General, Acute care
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Integris Mental Health Center
- Psychiatric Hospital Unit
- Spencer, OK
- NPI 1659443372
O20080516000667
-
dba Integris Health Baptist Medical Center
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1831103654
O20080516000667
-
dba Integris Mental Health Center Acute
- Psychiatric Hospital Unit
- Spencer, OK
- NPI 1881760759
O20080516000667
Care Compare: Hospital
Medicare Care Compare- Listed as
- Integris Baptist Medical Center, Inc
- Overall star rating
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
National Provider Directory
National Provider Directory- Tax ID family
- Integris Baptist Med Ce
Other organizations with this tax ID 12
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Dr Karl K Boatman MD
- Medical Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1134163900
-
dba Integris Mental Health Center
- Psychiatric Hospital Unit
- Spencer, OK
- NPI 1437560398
-
- Psychiatry Physician
- Oklahoma City, OK
- NPI 1619152659
-
- Psychiatric Hospital Unit
- Spencer, OK
- NPI 1124346754
-
dba Integris Health Medical Supply
- Customized Equipment (DME)
- Oklahoma City, OK
- NPI 1366722183
-
dba Samaritan Infusion Services
- Durable Medical Equipment & Medical Supplies
- Oklahoma City, OK
- NPI 1437299849
-
dba INTEGRIS Health Portland Ave Pharmacy
- Pharmacy
- Oklahoma City, OK
- NPI 1619721784
-
dba Integris Mental Health Center
- Psychiatric Hospital Unit
- Spencer, OK
- NPI 1659443372
-
- Durable Medical Equipment & Medical Supplies
- Oklahoma City, OK
- NPI 1689833295
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1790496834
-
dba Integris Mental Health Center Acute
- Psychiatric Hospital Unit
- Spencer, OK
- NPI 1881760759
-
dba Integris Home Care Oklahoma City
- Home Health Agency
- Oklahoma City, OK
- NPI 1174542195
Ownership & related parties
All disclosed owners & managing parties 16
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| William M Ross | Corporate Director | Apr 1, 2008 | |
| Chris M Hammes | Corporate Officer | Feb 1, 2017 | |
| Joey D Sager | Corporate Director | Jan 1, 1998 | |
| Michael L Weed | Corporate Director | Jun 1, 2020 | |
| W-2 Managing Employee | Jun 1, 2020 | ||
| Integris Health Inc | 5% Or Greater Direct Ownership Interest | Dec 18, 1998 | |
| Aline C Brown | Corporate Director | Jan 1, 2000 | |
| Bryan D Garcia | Corporate Director | Jul 1, 2013 | |
| Jordan Cash | Corporate Officer | Jul 1, 2021 | |
| Laura W Boyd | Corporate Director | Jul 1, 2015 | |
| James L Parrack | Corporate Director | Apr 1, 2008 | |
| Robert K Kellogg | Corporate Director | Jan 1, 2015 | |
| John Mathena | Corporate Director | Jul 1, 2018 | |
| Stephen E Merrill | Corporate Director | Jul 1, 2015 | |
| William Hulse | Corporate Director | Nov 1, 2015 | |
| Timothy Pehrson | Corporate Director | Aug 1, 2018 | |
| W-2 Managing Employee | Aug 1, 2018 | ||
| Stephen F Young | Corporate Director | Jan 1, 2013 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Practitioners & affiliated clinicians
Affiliated clinicians 1,237
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Orthopaedic Surgery Physician
- Oklahoma City, OK
- NPI 1457846412
Hospital
-
- Anatomic Pathology & Clinical Pathology Physician
- Oklahoma City, OK
- NPI 1780848697
Hospital
-
- Critical Care Medicine Nurse Practitioner
- Oklahoma City, OK
- NPI 1316432495
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1625184000000",
"number": "1598837221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 268907",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731268907",
"telephone_number": "405-717-9840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3525 NW 56TH ST STE 150A",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731124548",
"telephone_number": "405-717-9840"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRIS BAPTIST MEDICAL CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-15",
"last_updated": "2021-07-02",
"certification_date": "2021-07-02",
"status": "A",
"authorized_official_last_name": "WEED",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "405-951-2737"
},
"taxonomies": [
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": "OK",
"license": "2290",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100806400B",
"state": "OK"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "INTEGRIS@DIRECT.INTEGRISOK.COM",
"affiliation": "N",
"address_1": "3525 NW 56th St Ste 150A",
"city": "Oklahoma City",
"state": "OK",
"country_code": "US",
"postal_code": "731124548",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "INTEGRIS Decisions Mental Health and Addiction Recovery Programs",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oklahoma City, OK
- Integris Baptist Medical Center
- Integris Baptist Medical Center
- Integris Baptist Medical Center Inc (Samaritan Infusion Services)
- Integris Baptist Medical Center Inc (Integris Health Medical Supply)
- Integris Baptist Medical Center Inc (Samaritan Infusion Services)
- Integris Baptist Medical Center Inc (INTEGRIS Health Portland Ave Pharmacy)
- Integris Baptist Medical Center Inc
- Integris Baptist Medical Center Inc (INTEGRIS Mental Health Physicians)
- Integris Baptist Medical Center Inc
- Integris Baptist Medical Center Inc (Integris Health Baptist Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.