| Integris Health Medical Group Miami | |
|
310 2nd Ave Sw Ste 101, 102, 103, 105, 106a, 106b, 107a, 107b, & 203 Miami OK 74354-6743 | |
| (918) 540-7700 | |
| Not Available |
| Full Name | Integris Health Medical Group Miami |
|---|---|
| Speciality | Clinic/Center |
| Location | 310 2nd Ave Sw, Miami, Oklahoma |
| Authorized Official Name and Position | Brent Hubbard (SENIOR VICE PRESIDENT & COO) |
| Authorized Official Contact | 4059493402 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integris Health Medical Group Miami 5400 N Independence Ave Ste 200 Oklahoma City OK 73112-5300 Ph: (405) 713-5515 | Integris Health Medical Group Miami 310 2nd Ave Sw Ste 101, 102, 103, 105, 106a, 106b, 107a, 107b, & 203 Miami OK 74354-6743 Ph: (918) 540-7700 |
| NPI Number | 1386245744 |
|---|---|
| Provider Enumeration Date | 11/03/2020 |
| Last Update Date | 07/19/2023 |
| Medicare PECOS PAC ID | 1254235468 |
|---|---|
| Medicare Enrollment ID | O20210420001652 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386245744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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