| Integris Bass Baptist Hlth Ctr Generations Geropsych Unit | |
|
600 S Monroe St Enid OK 73701-7211 | |
| (580) 233-2300 | |
| Not Available |
| Full Name | Integris Bass Baptist Hlth Ctr Generations Geropsych Unit |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 600 S Monroe St, Enid, Oklahoma |
| Authorized Official Name and Position | Charles Bruce Lawrence (PRESIDENT/CEO) |
| Authorized Official Contact | 4059496066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integris Bass Baptist Hlth Ctr Generations Geropsych Unit 5400 N. Independence #100 Oklahoma City OK 73112-5300 Ph: () - | Integris Bass Baptist Hlth Ctr Generations Geropsych Unit 600 S Monroe St Enid OK 73701-7211 Ph: (580) 233-2300 |
| NPI Number | 1902913999 |
|---|---|
| Provider Enumeration Date | 08/24/2006 |
| Last Update Date | 08/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902913999 | NPI | - | NPPES |
| 100699500R | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 2244 (Oklahoma) | Primary |
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