| Integris Bass Psychiatric Services | |
|
2216 S Van Buren St Enid OK 73703-8217 | |
| (580) 234-2220 | |
| (580) 233-8922 |
| Full Name | Integris Bass Psychiatric Services |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2216 S Van Buren St, Enid, Oklahoma |
| Authorized Official Name and Position | Jeffrey M Brown (VICE PRESIDENT) |
| Authorized Official Contact | 5805481367 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integris Bass Psychiatric Services Po Box 5038 Enid OK 73702-5038 Ph: (580) 548-1367 | Integris Bass Psychiatric Services 2216 S Van Buren St Enid OK 73703-8217 Ph: (580) 234-2220 |
| NPI Number | 1629056601 |
|---|---|
| Provider Enumeration Date | 01/09/2006 |
| Last Update Date | 01/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629056601 | NPI | - | NPPES |
| 200069200Z | Other | OK | MEDICAID OSUFFS |
| 200065440A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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