Provider Demographics
NPI:1851560759
Name:BAPTIST HEALTHCARE OF OKLAHOMA INC
Entity Type:Organization
Organization Name:BAPTIST HEALTHCARE OF OKLAHOMA INC
Other - Org Name:INTEGRIS FAMILY MEDICINE OF SOUTHERN OKLAHOMA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT RURAL HEALTH
Authorized Official - Prefix:
Authorized Official - First Name:OSCAR
Authorized Official - Middle Name:KARL
Authorized Official - Last Name:WEINMEISTER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:580-548-1367
Mailing Address - Street 1:PO BOX 960251
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73196-0251
Mailing Address - Country:US
Mailing Address - Phone:580-548-1367
Mailing Address - Fax:580-548-1583
Practice Address - Street 1:2 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:MADILL
Practice Address - State:OK
Practice Address - Zip Code:73446-0604
Practice Address - Country:US
Practice Address - Phone:580-795-0191
Practice Address - Fax:580-795-0194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-25
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty