IACC/EHI NW, LLC (NPI# 1194209155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194209155 |
| Entity Type | Organization |
| Organization Name | IACC/EHI NW, LLC |
| Other Organization Name | INTEGRIS COMMUNITY HOSPITAL-COUNCIL CROSSING |
| Practice Address |
9417 N Council Rd Oklahoma City OK 73162-6207 |
| Mailing Address |
8686 New Trails Dr Ste 100 The Woodlands TX 77381-1176 |
| Practice Telephone | 8775160911 |
| Practice Fax Number | 2812923585 |
| Mailing Telephone | 7136371146 |
| Mailing Fax Number | 2814658414 |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2019-09-10 |
| Authorized Official Name | JOHN BUCK (SECRETARY) |
| Authorized Official Telephone | 7136371004 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | HOSPITAL LICENSE | 2388 | 01 |
| OK | MEDICARE | 370240 | 01 |
| OK | 200834400A | 05 |
| Other Name | Type Code |
|---|---|
| Integris Community Hospital-Council Crossing | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942784715 | Iacc/ehi Nw, LLC | General Acute Care Hospital | 4801 S.e. 15th Street, Del City, OK 73115 | 2018-09-18 |
| 1336623198 | Iacc/ehi Nw, LLC | General Acute Care Hospital | 300 South Rockwell Avenue, Oklahoma City, OK 73128 | 2018-09-18 |
| 1447734272 | Iacc/ehi Nw, LLC | General Acute Care Hospital | 1401 Sw 34th St, Moore, OK 73160-3059 | 2018-09-18 |
| Street Address |
9417 N COUNCIL RD |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73162-6207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114493319 | Anthony Haislip | Peer Specialist | 6904 Briar Creek Dr., Oklahoma City, OK 73162 | 2018-10-16 |
| 1760973705 | Lars Pederson | Peer Specialist | 7308 Nw 114th St, Oklahoma City, OK 73162 | 2018-05-25 |
| 1770026841 | Cory Chambers | Dentist | 12321 N. Council Rd, Oklahoma City, OK 73162 | 2016-11-22 |
| 1487109062 | K. Williams | Case Manager/Care Coordinator | 10400 North Council Road, Oklahoma City, OK 73162 | 2016-08-24 |
| 1932537669 | Al Dowell | Case Manager/Care Coordinator | 8849 Nw 121st St., Oklahoma City, OK 73162 | 2013-10-15 |
| 1508106378 | Wilvia Wong-plum | Counselor | 7309 N.w. 107th St., Oklahoma City, OK 73162 | 2013-02-15 |
| 1386912301 | Delores Parker | Counselor | 11916 Silvermoon Drive, Oklahoma City, OK 73162 | 2011-12-05 |
| 1518241744 | Victor Njoh | Pharmacist | 7101 West Hefner Rd, Oklahoma City, OK 73162 | 2011-10-06 |
| 1841500113 | Kimmi Jo Stanley | Speech-Language Pathologist | 9400 St. Ann's Home, Oklahoma City, OK 73162 | 2010-10-20 |
| 1548493091 | Glen Knight Wallace | Counselor | 7932 Nicholson, Okalhoma City, OK 73162 | 2009-09-01 |
| Find all providers in zip 73162 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336623198 | Iacc/ehi Nw, LLC | General Acute Care Hospital | 300 South Rockwell Avenue, Oklahoma City, OK 73128 | 2018-09-18 |
| 1255884003 | Ou Medical Center | General Acute Care Hospital | 940 Ne 13th St Ste 1360, Oklahoma City, OK 73104-5008 | 2016-07-28 |
| 1902263569 | Rosa J. Rios | General Acute Care Hospital | 410 Sw 38th St, Oklahoma City, OK 73109-6904 | 2016-01-26 |
| 1174993133 | Neel Veterinary Hospital | General Acute Care Hospital | 2700 N Macarthur Blvd, Oklahoma City, OK 73127-1612 | 2015-10-03 |
| 1356580997 | Integris Southwest Medical Center | General Acute Care Hospital | 2604 Sw 91st St, Oklahoma City, OK 73159-6708 | 2009-02-04 |
| 1366680795 | Oklahoma Heart Hospital LLC | General Acute Care Hospital | 530 Sw 80th St, Imaging South, Oklahoma City, OK 73139-9408 | 2009-01-22 |
| 1801069299 | Janet M. Spradlin, Ph.d. PC | General Acute Care Hospital | 1000 N Lee Ave # 6188, Oklahoma City, OK 73102-1036 | 2008-04-08 |
| 1043307317 | Vamc | General Acute Care Hospital | 921 N.e.13th Str., Oklahoma City, OK 73104 | 2006-10-06 |
| 1033229240 | Surgical Hospital of Oklahoma LLC | General Acute Care Hospital | 100 Southeast 59th, Oklahoma City, OK 73129-3616 | 2006-08-30 |
| 1811931686 | Bone & Joint Hospital, LLC | General Acute Care Hospital | 1111 N Dewey Ave, Oklahoma City, OK 73103-2609 | 2006-06-15 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73162 |
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| 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.