INTEGRIS SOUTH OKLAHOMA CITY HOSPITAL CORPORATION (NPI# 1457372625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457372625 |
| Entity Type | Organization |
| Organization Name | INTEGRIS SOUTH OKLAHOMA CITY HOSPITAL CORPORATION |
| Other Organization Name | INTEGRIS SOUTHWEST MEDICAL CENTER |
| 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 | 4056367000 |
| Enumeration Date | 2006-07-22 |
| 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 | 282N00000X | General Acute Care Hospital | 2289 | OK | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100700200A | 05 | |
| OK | 100700200B | 05 |
| Other Name | Type Code |
|---|---|
| INTEGRIS Southwest Medical Center | 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 |
| 1336252717 | Integris South Oklahoma City Hospital Corporation | Rehabilitation Unit | 4401 S Western Ave, Oklahoma City, OK 73109-3413 | 2006-08-17 |
| 1336155779 | Integris South Oklahoma City Hospital Corporation | Clinic/Center | 4100 S Douglas Ave, Oklahoma City, OK 73109-3210 | 2006-07-31 |
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336623198 | Iacc/ehi Nw, LLC | General Acute Care Hospital | 300 South Rockwell Avenue, Oklahoma City, OK 73128 | 2018-09-18 |
| 1194209155 | Iacc/ehi Nw, LLC | General Acute Care Hospital | 9417 N Council Rd, Oklahoma City, OK 73162-6207 | 2018-09-17 |
| 1255884003 | Ou Medical Center | General Acute Care Hospital | 940 Ne 13th St Ste 1360, Oklahoma City, OK 73104-5008 | 2016-07-28 |
| 1902263569 | Rosa J. Rios | General Acute Care Hospital | 410 Sw 38th St, Oklahoma City, OK 73109-6904 | 2016-01-26 |
| 1174993133 | Neel Veterinary Hospital | General Acute Care Hospital | 2700 N Macarthur Blvd, Oklahoma City, OK 73127-1612 | 2015-10-03 |
| 1356580997 | Integris Southwest Medical Center | General Acute Care Hospital | 2604 Sw 91st St, Oklahoma City, OK 73159-6708 | 2009-02-04 |
| 1366680795 | Oklahoma Heart Hospital LLC | General Acute Care Hospital | 530 Sw 80th St, Imaging South, Oklahoma City, OK 73139-9408 | 2009-01-22 |
| 1801069299 | Janet M. Spradlin, Ph.d. PC | General Acute Care Hospital | 1000 N Lee Ave # 6188, Oklahoma City, OK 73102-1036 | 2008-04-08 |
| 1043307317 | Vamc | General Acute Care Hospital | 921 N.e.13th Str., Oklahoma City, OK 73104 | 2006-10-06 |
| 1033229240 | Surgical Hospital of Oklahoma LLC | General Acute Care Hospital | 100 Southeast 59th, Oklahoma City, OK 73129-3616 | 2006-08-30 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73109 |
Please comment or provide details below to improve the information on INTEGRIS SOUTH OKLAHOMA CITY HOSPITAL CORPORATION.
| 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.