NPIMap

Organization Active NPI

Integris Rural Health, Inc

Doing business as INTEGRIS Family First

  • Family Medicine Physician
  • Enid, OK
National Provider Identifier
1609157064
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
INTEGRIS RURAL HEALTH, INC
Doing business as
INTEGRIS Family First
Practice address
915 E Garriott Rd
Suite K
Enid, OK 73701-6156
Phone
(580) 242-4300
Fax
(580) 242-4306
NPI assigned
Aug 30, 2011
Last updated
Aug 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2011

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

Authorized official

Name
Jeff M Brown
Title
VP Integris Rural Phys Practic MGMT
Phone
(580) 548-1367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

915 E Garriott Rd
Suite K
Enid, OK 73701-6156

Mailing address

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

Other names 1

  • INTEGRIS Family First Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314662400000",
    "number": "1609157064",
    "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": "580-548-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 E GARRIOTT RD",
            "address_2": "SUITE K",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737016156",
            "telephone_number": "580-242-4300",
            "fax_number": "580-242-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRIS RURAL HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-30",
        "last_updated": "2011-08-30",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP INTEGRIS RURAL PHYS PRACTIC MGMT",
        "authorized_official_telephone_number": "580-548-1367"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTEGRIS Family First",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Enid, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.