NPIMap

Organization Active NPI

Integris Ambulatory Care Corp

Doing business as PACER Fitness Center

  • Corporate Health Clinic/Center
  • Oklahoma City, OK
National Provider Identifier
1790141935
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corporate Health Clinic/CenterTaxonomy code 261QC1800X
License
2297 Issued in OK
Legal business name
INTEGRIS AMBULATORY CARE CORP
Doing business as
PACER Fitness Center
Practice address
5520 N Independence Ave
Oklahoma City, OK 73112-5641
Phone
(405) 949-3891
Fax
(405) 949-3475
NPI assigned
Jan 4, 2016
Last updated
Jan 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

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) 949-3177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corporate Health Clinic/Center 261QC1800X 2297 OK Primary

Addresses

Primary practice location

5520 N Independence Ave
Oklahoma City, OK 73112-5641

Mailing address

5520 N Independence Ave
Oklahoma City, OK 73112-5641
Phone (405) 949-3891

Other names 1

  • PACER Fitness Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Integris Ambulatory Reh10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451865600000",
    "number": "1790141935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 N INDEPENDENCE AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125641",
            "telephone_number": "405-949-3891",
            "fax_number": "405-949-3475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 N INDEPENDENCE AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125641",
            "telephone_number": "405-949-3891",
            "fax_number": "405-949-3475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRIS AMBULATORY CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-04",
        "last_updated": "2016-01-04",
        "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": "405-949-3177"
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": "OK",
            "license": "2297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PACER Fitness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.