INTEGRIS RURAL HEALTH INC (NPI# 1962403030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962403030 |
| Entity Type | Organization |
| Organization Name | INTEGRIS RURAL HEALTH INC |
| Other Organization Name | INTEGRIS CANADIAN VALLEY FAMILY CARE CLINIC |
| Practice Address |
1468 N Mustang Rd Mustang OK 73064-0000 |
| Mailing Address |
Po Box 960033 Oklahoma City OK 73196-0033 |
| Practice Telephone | 4053761800 |
| Practice Fax Number | 4053761856 |
| Mailing Telephone | 5805481367 |
| Mailing Fax Number | 5805481583 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2012-01-02 |
| Authorized Official Name | JEFFREY M BROWN (VP OF PHYSICIAN PRACTICE MANAGEMENT) |
| Authorized Official Telephone | 5805481367 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200014470B | 05 | |
| OK | 200014470D | 05 | |
| OK | MEDICAID SC | 200014470C | 01 |
| Other Name | Type Code |
|---|---|
| Integris Canadian Valley Family Care Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487800512 | Integris Rural Health Inc | Internal Medicine | 402 S Oakwood Rd Ste B, Enid, OK 73703-4945 | 2008-08-08 |
| 1629056601 | Integris Rural Health Inc | Psychiatry & Neurology | 2216 S Van Buren St, Enid, OK 73703-8217 | 2006-01-09 |
| 1881687184 | Integris Rural Health Inc | Otolaryngology | 3201 N Van Buren St, Ste 500, Enid, OK 73703-1812 | 2005-08-23 |
| 1245231307 | Integris Rural Health Inc | Obstetrics & Gynecology | 1205 Health Center Pkwy, Suite 250, Yukon, OK 73099-6396 | 2005-08-10 |
| 1306865357 | Integris Rural Health Inc | General Acute Care Hospital | 1201 Health Center Pkwy, Yukon, OK 73099-6381 | 2006-07-19 |
| 1174509699 | Integris Rural Health Inc | Surgery | 707 S Monroe St, Enid, OK 73701-7286 | 2005-12-16 |
| 1134104128 | Integris Rural Health Inc | Family Medicine | 221 S Grand Ave, Cherokee, OK 73728-2029 | 2005-12-13 |
| 1730172933 | Integris Rural Health Inc | Internal Medicine | 401 E Oklahoma Ave, Ste A, Enid, OK 73701-5800 | 2005-08-24 |
| 1316939044 | Integris Rural Health Inc | Obstetrics & Gynecology | 620 S Madison St, Suite 301, Enid, OK 73701-7270 | 2005-08-18 |
| 1467454991 | Integris Rural Health Inc | Family Medicine | 1805 W Garriott Rd, Enid, OK 73703-5526 | 2005-08-15 |
| Street Address |
1468 N MUSTANG RD |
| City | MUSTANG |
| State | OK |
| Zip Code | 73064-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013397991 | Chelsea R Mcvey | Family Medicine | 1468 N Mustang Rd, Mustang, OK 73064-7214 | 2015-06-04 |
| 1881955508 | Erin Balzer | Family Medicine | 1468 N Mustang Rd, Mustang, OK 73064-7214 | 2012-05-30 |
| 1740577279 | Stefanie Lynn Meredith | Family Medicine | 1468 N Mustang Rd, Mustang, OK 73064-7214 | 2011-07-05 |
| 1982918348 | Craig A Rogers | Orthopaedic Surgery | 1468 N Mustang Rd, Mustang, OK 73064-7214 | 2010-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336760149 | Brian Angel Padilla | Student in an Organized Health Care Education/Training Program | 704 N White Tail Way, Mustang, OK 73064 | 2020-05-03 |
| 1346762564 | Mustang Dentistry & Braces | Clinic/Center | 1001 E. Highway 152, Suite 113, Mustang, OK 73064 | 2017-07-10 |
| 1134591779 | James Donald Mcginn IIi | Nurse Practitioner | 738 W. Perry, Mustang, OK 73064 | 2015-10-22 |
| 1912310681 | Jon Austin Barnes | Dentist | 201 S Sara Rd Ste 140, Mustang, OK 73064 | 2014-06-10 |
| 1770996084 | Jennifer Chadd Wilbourn | Dentist | 500 N Financial Center Terrace, Suite D, Mustang, OK 73064 | 2014-06-04 |
| 1003236969 | Okc Dental Health Associates, P.C. | Dentist | 1041 E. Hwy 152, Mustang, OK 73064 | 2014-04-18 |
| 1063834786 | Heather Wagner | Nurse Practitioner | 106 W Highway 152, Mustang, OK 73064 | 2014-01-15 |
| 1053743252 | Misty Renee May | Counselor | 1558 E. Lake Aire Lane, Mustang, OK 73064 | 2013-07-30 |
| 1386901502 | John M Ketcher LLC | Optometrist | 1108 E. Hwy 152, Mustang, OK 73064 | 2012-04-12 |
| 1083995658 | Joseph J Gronigan | Counselor | 627 E Suera Terr., Mustang, OK 73064 | 2011-09-08 |
| Find all providers in zip 73064 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295365302 | Vibrant Life Direct Care, Pllc | Family Medicine | 501 N Mustang Rd Ste B, Mustang, OK 73064-7044 | 2020-01-17 |
| 1356506935 | Peter Paul Bullock Jr. | Family Medicine | 106 S Castlerock Ln, Mustang, OK 73064-4586 | 2008-07-23 |
| 1770788358 | Joy Alyse Manning Plain | Family Medicine | 201 S Sara Road, Suite 200, Mustang, OK 73064 | 2007-06-15 |
| 1811103922 | Saints Medical Group, LLC | Family Medicine | 501 N Mustang Rd, Suite D, Mustang, OK 73064-7048 | 2007-05-15 |
| 1235271719 | Ilona Dobrowolska Samara | Family Medicine | 201 S Sara Rd, Suite 200, Mustang, OK 73064-4303 | 2007-02-13 |
| 1285662890 | Rebecca G. Biorato | Family Medicine | 731 E State Highway 152, Mustang, OK 73064-4520 | 2006-06-30 |
| 1710989702 | Gerald A Amundsen II | Family Medicine | 206 N Mustang Mall Ter, Mustang, OK 73064-5135 | 2005-08-10 |
| 1013397991 | Chelsea R Mcvey | Family Medicine | 1468 N Mustang Rd, Mustang, OK 73064-7214 | 2015-06-04 |
| 1336569417 | Leslie Williams | Family Medicine | 201 S Sara Rd Ste 200, Mustang, OK 73064-4308 | 2014-04-16 |
| 1881955508 | Erin Balzer | Family Medicine | 1468 N Mustang Rd, Mustang, OK 73064-7214 | 2012-05-30 |
| Find all providers in MUSTANG | ||||
Please comment or provide details below to improve the information on INTEGRIS RURAL HEALTH INC.
| 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.