Active NPI
Integris Miami Hospital
- Rural Health Clinic/Center
- Miami, OK
National Provider Identifier
1912508375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- INTEGRIS MIAMI HOSPITAL
- Practice address
- 30 B St SW
Miami, OK 74354-6808 - Phone
- (918) 542-5551
- NPI assigned
- Nov 3, 2020
- Organization subpart
- Yes
- Parent organization
- INTEGRIS MIAMI HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chris Hammes
- Title
- Senior Vice President & Coo
- Phone
- (405) 949-3402
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Primary |
Addresses
Primary practice location
30 B St SW
Miami, OK 74354-6808
Mailing address
5400 N Independence Ave Ste 200
Oklahoma City, OK 73112-5300
Phone (405) 713-5515
Other names 1
- INTEGRIS Miami Physicians Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031120000383 | OK | Part B Supplier - Clinic/Group Practice | 1254235468 |
Receives reassigned benefits from 16 practitioners 5 other NPIs on this enrollment Practice locations: Miami, OK |
Other NPIs with the same Medicare PAC ID 5
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Emergency Care Clinic/Center
- Miami, OK
- NPI 1811952963
O20031120000383
National Provider Directory
National Provider Directory- Part of
- Baptist Regional HLTH C
Locations
310 2nd Ave SW
Ste 105
Miami, OK 74354
Phone (918) 542-2812
Practitioners & affiliated clinicians
Practitioners 27
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": "1604361600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1618185600000",
"number": "1912508375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 N INDEPENDENCE AVE STE 200",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731125300",
"telephone_number": "405-713-5515",
"fax_number": "405-713-5532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 B ST SW",
"city": "MIAMI",
"state": "OK",
"postal_code": "743546808",
"telephone_number": "918-542-5551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRIS MIAMI HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "INTEGRIS MIAMI HOSPITAL",
"enumeration_date": "2020-11-03",
"last_updated": "2021-04-12",
"certification_date": "2021-04-12",
"status": "A",
"authorized_official_last_name": "HAMMES",
"authorized_official_first_name": "CHRIS",
"authorized_official_title_or_position": "SENIOR VICE PRESIDENT & COO",
"authorized_official_telephone_number": "405-949-3402"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "INTEGRIS Miami Physicians Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Miami, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.