Provider Demographics
NPI:1639192727
Name:BAPTIST HEALTHCARE OF OKLAHOMA, INC
Entity Type:Organization
Organization Name:BAPTIST HEALTHCARE OF OKLAHOMA, INC
Other - Org Name:INTEGRIS HOMECARE SOLUTIONS HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:HUPFELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-949-6066
Mailing Address - Street 1:PO BOX 827
Mailing Address - Street 2:
Mailing Address - City:MADILL
Mailing Address - State:OK
Mailing Address - Zip Code:73446-0827
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 ONE HOSPITAL DRIVE
Practice Address - Street 2:
Practice Address - City:MADILL
Practice Address - State:OK
Practice Address - Zip Code:73446
Practice Address - Country:US
Practice Address - Phone:580-795-3384
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4025251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100699710CMedicaid
OK377209Medicare Oscar/Certification