NPIMap

Organization Active NPI

Integris Miami Hospital

Doing business as INTEGRIS Miami Physicians Clinic

  • Rural Health Clinic/Center
  • Miami, OK
National Provider Identifier
1912508375
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
INTEGRIS MIAMI HOSPITAL
Doing business as
INTEGRIS Miami Physicians Clinic
Practice address
30 B St SW
Miami, OK 74354-6808
Phone
(918) 542-5551
NPI assigned
Nov 3, 2020
Last updated
Apr 12, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
INTEGRIS MIAMI HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory
Part of
Alliance Private Duty

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

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.

Verify at the official NPI Registry.