INTEGRIS AMBULATORY CARE CORPORATION (NPI# 1477090652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477090652 |
| Entity Type | Organization |
| Organization Name | INTEGRIS AMBULATORY CARE CORPORATION |
| Other Organization Name | INTEGRIS JIM THORPE OUTPATIENT REHABILITATION CENTER |
| Practice Address |
2203 S Main St Grove OK 74344-5329 |
| Practice Telephone | 9187863797 |
| Practice Fax Number | 9187867395 |
| Mailing Telephone | 9187863797 |
| Mailing Fax Number | 9187867395 |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-01-25 |
| Authorized Official Name | MR. C BRUCE LAWRENCE (PRESIDENT/CEO) |
| Authorized Official Telephone | 4059493011 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100736700A | 05 |
| Other Name | Type Code |
|---|---|
| INTEGRIS Jim Thorpe Outpatient Rehabilitation Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982238077 | Integris Ambulatory Care Corporation | Clinic/Center | 11801 S May Ave, Oklahoma City, OK 73170-2560 | 2020-02-27 |
| 1891329983 | Integris Ambulatory Care Corporation | Clinic/Center | 2901 Marilyn Williams Dr, Edmond, OK 73003-1001 | 2020-02-27 |
| 1245708957 | Integris Ambulatory Care Corporation | Clinic/Center | 7301 Sw 44th St Ste G, Oklahoma City, OK 73179-4308 | 2018-11-12 |
| 1568946119 | Integris Ambulatory Care Corporation | Clinic/Center | 11101 Hefner Pointe Dr Ste 207, Oklahoma City, OK 73120-5054 | 2018-09-19 |
| 1023039187 | Integris Ambulatory Care Corporation | Clinic/Center | 2111 Riverwalk Dr, Moore, OK 73160-2700 | 2006-07-22 |
| 1750333936 | Integris Ambulatory Care Corporation | Internal Medicine | 5300 N Independence Ave, Suite 280, Oklahoma City, OK 73112-5556 | 2006-05-16 |
| 1114432507 | Integris Ambulatory Care Corporation | Family Medicine | 7301 Sw 44th St Ste A, Oklahoma City, OK 73179-4309 | 2017-12-06 |
| 1164669503 | Integris Ambulatory Care Corporation | Clinic/Center | 401 S 3rd St, Enid, OK 73701-5737 | 2009-01-07 |
| 1033320825 | Integris Ambulatory Care Corporation | Clinic/Center | 3434 Nw 56th St, Suite # 101, Oklahoma City, OK 73112-4488 | 2007-05-24 |
| Street Address |
2203 S MAIN ST |
| City | GROVE |
| State | OK |
| Zip Code | 74344-5329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326604935 | Deborah Stauss | Massage Therapist | 2086 S Main St, Grove, OK 74344 | 2019-05-20 |
| 1841776705 | Progressive Orthotic & Prosthetic Services, Inc | Prosthetic/Orthotic Supplier | 10 E 6th St., Grove, OK 74344 | 2018-07-13 |
| 1205329232 | Andra Renee Mitchell | Speech-Language Pathologist | 825 E Third Street, Grove, OK 74344 | 2018-06-13 |
| 1861996217 | Jenniffer Colleen Clark I | Case Manager/Care Coordinator | 1115 Har-ber Rd, Grove, OK 74344 | 2018-03-21 |
| 1417458167 | Jason S Beckham | Case Manager/Care Coordinator | 32600 S. 625 Road, Grove, OK 74344 | 2018-02-27 |
| 1659872034 | Keli Elaine Whitlock | Peer Specialist | 5602 Us Hwy 59, Grove, OK 74344 | 2018-02-22 |
| 1851899454 | Nichole Marie Wooton | Case Manager/Care Coordinator | 1115 Har-ber Road, Grove, OK 74344 | 2018-01-29 |
| 1043766645 | Samantha Lane | Speech-Language Pathologist | 1046 Hillside Road, Grove, OK 74344 | 2016-09-01 |
| 1376927509 | Matthew Kyle Allen | Physical Therapy Assistant | 4621 Hwy 59 N, Grove, OK 74344 | 2015-07-17 |
| 1477807428 | Andrew Scott Littlejohn | Physical Therapy Assistant | 103 Harber Road, Grove, OK 74344 | 2012-10-30 |
| Find all providers in zip 74344 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499250 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 4400 Grant Blvd Ste 105, Yukon, OK 73099-0038 | 2020-05-18 |
| 1982238077 | Integris Ambulatory Care Corporation | Clinic/Center | 11801 S May Ave, Oklahoma City, OK 73170-2560 | 2020-02-27 |
| 1891329983 | Integris Ambulatory Care Corporation | Clinic/Center | 2901 Marilyn Williams Dr, Edmond, OK 73003-1001 | 2020-02-27 |
| 1194373027 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 1841 Piedmont Rd N Ste C, Piedmont, OK 73078-7008 | 2019-09-04 |
| 1013570357 | Select Physical Therapy Holdings Inc. | Clinic/Center | 3402 W 114th St, Suite 101, Jenks, OK 74037 | 2019-04-22 |
| 1245708957 | Integris Ambulatory Care Corporation | Clinic/Center | 7301 Sw 44th St Ste G, Oklahoma City, OK 73179-4308 | 2018-11-12 |
| 1568946119 | Integris Ambulatory Care Corporation | Clinic/Center | 11101 Hefner Pointe Dr Ste 207, Oklahoma City, OK 73120-5054 | 2018-09-19 |
| 1790969053 | South Tulsa Performance Health | Clinic/Center | 7112 S Mingo Rd Ste 101, Tulsa, OK 74133-3267 | 2007-12-21 |
| 1861568859 | Goodwill Industries of Tulsa Inc | Clinic/Center | 2800 Southwest Blvd, Tulsa, OK 74107-3817 | 2006-11-28 |
| 1609972058 | State of Oklahoma | Clinic/Center | 2002 E Robinson St, Norman, OK 73071-7420 | 2006-09-15 |
| Find all providers with the same taxonomy | ||||
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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.