| Integris Bass Baptist Health Center | |
|
158 E Sunset Dr Ste B Medford OK 73759-2427 | |
| (580) 395-2319 | |
| Not Available |
| Full Name | Integris Bass Baptist Health Center |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 158 E Sunset Dr, Medford, Oklahoma |
| Authorized Official Name and Position | Donna Wallace (ASSISTANT TREASURER) |
| Authorized Official Contact | 6363594890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integris Bass Baptist Health Center Po Box 200731 Dallas TX 75320-0731 Ph: (405) 252-8400 | Integris Bass Baptist Health Center 158 E Sunset Dr Ste B Medford OK 73759-2427 Ph: (580) 395-2319 |
| NPI Number | 1730180894 |
|---|---|
| Provider Enumeration Date | 08/10/2005 |
| Last Update Date | 04/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730180894 | NPI | - | NPPES |
| 100755790A | Medicaid | OK | |
| 100699500N | Medicaid | OK | |
| 100755790B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Great Salt Plains Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 619 Front Street, Medford, OK 73759 Phone: 580-395-3200 Fax: 580-596-2805 | |
Amy Holmes Medical Services Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 E Cherokee, Medford, OK 73759 Phone: 580-395-2800 Fax: 580-395-2099 |