| Integris Bass Behavioral Health Center Acute | |
|
2216 S Van Buren St Enid OK 73703-8217 | |
| (580) 234-2220 | |
| Not Available |
| Full Name | Integris Bass Behavioral Health Center Acute |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 2216 S Van Buren St, Enid, Oklahoma |
| Authorized Official Name and Position | Carl 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 Behavioral Health Center Acute Po Box 960239 Oklahoma City OK 73196-0001 Ph: () - | Integris Bass Behavioral Health Center Acute 2216 S Van Buren St Enid OK 73703-8217 Ph: (580) 234-2220 |
| NPI Number | 1962577890 |
|---|---|
| Provider Enumeration Date | 11/24/2006 |
| Last Update Date | 11/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962577890 | NPI | - | NPPES |
| 100699500A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 2244 (Oklahoma) | Primary |
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