INTEGRIS SOUTH OKLAHOMA CITY HOSPITAL CORPORATION (NPI# 1336252717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336252717 |
| Entity Type | Organization |
| Organization Name | INTEGRIS SOUTH OKLAHOMA CITY HOSPITAL CORPORATION |
| Other Organization Name | INTEGRIS JIM THORPE INPATIENT REHABILITATION |
| Practice Address |
4401 S Western Ave Oklahoma City OK 73109-3413 |
| Mailing Address |
5400 N Independence Ave 100 Oklahoma City OK 73112-5300 |
| Practice Telephone | 4056445200 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2015-04-08 |
| Authorized Official Name | C BRUCE LAWRENCE (PRESIDENT CEO) |
| Authorized Official Telephone | 4059496066 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | 2289 | OK | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100700200A | 05 | |
| OK | 100700200R | 05 |
| Other Name | Type Code |
|---|---|
| Integris Jim Thorpe Inpatient Rehabilitation | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538587464 | Integris South Oklahoma City Hospital Corporation | Psychiatric Unit | 4401 S Western Ave, Oklahoma City, OK 73109-3413 | 2014-03-28 |
| 1336155779 | Integris South Oklahoma City Hospital Corporation | Clinic/Center | 4100 S Douglas Ave, Oklahoma City, OK 73109-3210 | 2006-07-31 |
| 1457372625 | Integris South Oklahoma City Hospital Corporation | General Acute Care Hospital | 4401 S Western Ave, Oklahoma City, OK 73109-3413 | 2006-07-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | INTEGRIS SOUTH OKLAHOMA CITY HOSPITAL CORPORATION | 4401 S Western, Oklahoma City, OK 73109-3413 |
| Street Address |
4401 S WESTERN AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73109-3413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922091511 | Ralph Oscar Shadid | Internal Medicine | 4401 S Western Ave, Oklahoma City, OK 73109-3413 | 2005-08-29 |
| 1255939245 | Osu Center for Health Scienses | Clinic/Center | 4401 S Western Ave, Oklahoma City, OK 73109-3413 | 2020-10-13 |
| 1740898030 | Ashley Nicole Newberry | Occupational Therapist | 4401 S Western Ave, Oklahoma City, OK 73109-3413 | 2020-07-22 |
| 1306461512 | Alicia Ablola Chaparro | Registered Nurse | 4401 S Western Ave, Oklahoma City, OK 73109-3413 | 2020-06-12 |
| 1700408309 | Nina G Stevens | Student in an Organized Health Care Education/Training Program | 4401 S Western Ave, Oklahoma City, OK 73109-3413 | 2020-05-18 |
| 1174145767 | Jesse P Pandian | Student in an Organized Health Care Education/Training Program | 4401 S Western Ave, Oklahoma City, OK 73109-3413 | 2020-05-18 |
| 1578185435 | Robert William Soult | Student in an Organized Health Care Education/Training Program | 4401 S Western Ave, Oklahoma City, OK 73109-3413 | 2020-05-14 |
| 1669094579 | Tyler L Woolum | Student in an Organized Health Care Education/Training Program | 4401 S Western Ave, Oklahoma City, OK 73109-3413 | 2020-05-13 |
| 1588286546 | Landon Riesenberg | Student in an Organized Health Care Education/Training Program | 4401 S Western Ave, Oklahoma City, OK 73109-3413 | 2020-05-13 |
| 1225650138 | Shelby Tripod | Student in an Organized Health Care Education/Training Program | 4401 S Western Ave, Oklahoma City, OK 73109-3413 | 2020-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063905354 | Housecalls | Family Medicine | 4413 S Lee Ave, Oklahoma City, OK 73109 | 2018-06-11 |
| 1225559404 | John Nathan Jacobsen | Dentist | 235 Sw 25th St., Oklahoma City, OK 73109 | 2017-06-28 |
| 1659828648 | Cynthia Jane Laney | Registered Nurse | 4401 South Western, Oklahoma City, OK 73109 | 2016-09-07 |
| 1497104780 | Hazel Soto | Case Manager/Care Coordinator | 420 Sw, St, Oklahoma, OK 73109 | 2016-06-07 |
| 1063873677 | Ardeceley Brandi Annette Hernandez | Community/Behavioral Health | 5714 S. Western Ave, Oklahoma City, OK 73109 | 2016-03-09 |
| 1316343908 | Van Ngo | Nurse Practitioner | 4413 South Lee Ave, Oklahoma City, OK 73109 | 2014-11-10 |
| 1104249150 | Janessa Ladawn Bointy | Counselor | 5359 S. Western Ave. #707, Oklahoma City, OK 73109 | 2014-01-28 |
| 1033540299 | Bryan Graham | Case Manager/Care Coordinator | 1111 Sw 28th St, Oklahoma City, OK 73109 | 2013-12-12 |
| 1154684603 | Nubia Fiesel | Counselor | 420 Sw 10th Street, Oklahoma City, OK 73109 | 2012-06-20 |
| 1548533664 | C.c. Freeman, Md. Inc | Internal Medicine | 4221 S. Western Ave., Suite 2015, Oklahoma City, OK 73109 | 2012-02-21 |
| Find all providers in zip 73109 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740716018 | Jai Shree Hanuman, LLC | Rehabilitation Unit | 6101 N Santa Fe Ave, Oklahoma City, OK 73118-7526 | 2017-05-05 |
| 1831663657 | Integris Baptist Medical Center, Inc | Rehabilitation Unit | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2019-01-15 |
| 1538213764 | Mcbride Clinic Orthopedic Hospital, LLC | Rehabilitation Unit | 9600 Broadway Ext, Oklahoma City, OK 73114-7408 | 2007-01-23 |
| 1679667836 | Mercy Hospital Oklahoma City, Inc. | Rehabilitation Unit | 4300 W Memorial Rd, Oklahoma City, OK 73120-8304 | 2006-10-03 |
| 1730288663 | Ssm Health Care of Oklahoma, Inc. | Rehabilitation Unit | 1000 N Lee Ave, Oklahoma City, OK 73102 | 2006-09-21 |
| 1356393110 | Deaconess Health System LLC | Rehabilitation Unit | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659398618 | Comanche County Healthcare Corporation Dba Center for Occupational Hea | Rehabilitation Unit | 602 Se Wallock St, Lawton, OK 73501-5444 | 2006-07-16 |
| 1023064300 | Brookhaven Hospital Inc. | Rehabilitation Unit | 201 S Garnett Rd, Tulsa, OK 74128 | 2006-05-26 |
| 1033113097 | St. Anthony Shawnee Hospital, Inc | Rehabilitation Unit | 1900 S Gordon Cooper Dr, Shawnee, OK 74801 | 2005-06-08 |
| 1306381561 | Saint Francis Hospital Muskogee Inc | Rehabilitation Unit | 300 Rockefeller Dr, Muskogee, OK 74401-5075 | 2016-12-27 |
| 1932442019 | Mercy Hospital Ada, Inc | Rehabilitation Unit | 430 N Monte Vista St, Ada, OK 74820-4610 | 2013-03-27 |
| 1811193964 | Linda Sue Church | Rehabilitation Unit | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2007-06-25 |
| 1003039488 | Saint Francis Hospital, Inc. | Rehabilitation Unit | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2007-04-11 |
| 1053456111 | Jane Phillips Memorial Medical Center, Inc | Rehabilitation Unit | 3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 | 2007-02-20 |
| 1083757926 | Muskogee Regional Medical Center LLC | Rehabilitation Unit | 300 Rockefeller Dr, Muskogee, OK 74401-5075 | 2007-02-14 |
| 1528122371 | Northeastern Health System | Rehabilitation Unit | 1400 E Downing St, Tahlequah, OK 74464-3324 | 2006-12-19 |
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| City | OKLAHOMA CITY |
| Zip Code | 73109 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.