NPIMap

Organization Active NPI

Baptist Healthcare of Oklahoma Inc

Doing business as Integris Bass Pavillion

  • Long Term Care Hospital
  • Enid, OK
National Provider Identifier
1730193202
Registry record updated Apr 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
2349 Issued in OK
Legal business name
BAPTIST HEALTHCARE OF OKLAHOMA INC
Doing business as
Integris Bass Pavillion
Practice address
401 S 3Rd St
Enid, OK 73701-5737
Phone
(580) 233-2300
NPI assigned
Jul 28, 2006
Last updated
Apr 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2015

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

Authorized official

Name
C Bruce Lawrence
Title
President/Ceo
Phone
(405) 949-6066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 2349 OK Primary

Addresses

Primary practice location

401 S 3Rd St
Enid, OK 73701-5737

Mailing address

PO Box 3187
Enid, OK 73702-3187

Other names 1

  • Integris Bass Pavillion Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1730193202. Details of each certification follow.

Hospital certification: CCN 370209

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
INTEGRIS BASS PAVILION
Certification status
Terminated Other: provider status change, Nov 30, 2001
Provider type (POS)
Hospital – Short-term
Participating since
May 15, 2001
Last certification
May 15, 2001
Beds
24
Ownership / control type
Private (not for profit)
Facility address
401 South Third
Enid, OK 73701

Hospital certification: CCN 372016

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
INTEGRIS BASS PAVILION
Certification status
Terminated Voluntary: merger or closure, Jun 30, 2020
Provider type (POS)
Hospital – Long-term
Participating since
Dec 1, 2001
Last certification
May 17, 2018
Beds
24
Ownership / control type
Private (not for profit)
Facility address
401 South Third Street
Enid, OK 73701

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428451200000",
    "number": "1730193202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3187",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737023187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S 3RD ST",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737015737",
            "telephone_number": "580-233-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST HEALTHCARE OF OKLAHOMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2015-04-08",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "C",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "405-949-6066"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "OK",
            "license": "2349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integris Bass Pavillion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Enid, OK

Sources for this page

Verify at the official NPI Registry.