INTEGRIS BASS BAPTIST HEALTH CENTER (NPI# 1730180894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730180894 |
| Entity Type | Organization |
| Organization Name | INTEGRIS BASS BAPTIST HEALTH CENTER |
| Other Organization Name | MEDFORD FAMILY CLINIC |
| Practice Address |
158b E Sunset Dr Medford OK 73759-2401 |
| Mailing Address |
Po Box 5038 Enid OK 73702-5038 |
| Practice Telephone | 5803952317 |
| Practice Fax Number | 5803952551 |
| Mailing Telephone | 5805481367 |
| Mailing Fax Number | 5805481537 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2013-12-16 |
| Authorized Official Name | GREG A MEYERS (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 5809771831 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100755790A | 05 | |
| OK | 100699500N | 05 | |
| OK | 100755790B | 05 |
| Other Name | Type Code |
|---|---|
| Medford Family Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205436938 | Integris Bass Baptist Health Center | Clinic/Center | 1805 W Owen K Garriott Rd, Enid, OK 73703-5526 | 2020-10-30 |
| 1134499338 | Integris Bass Baptist Health Center | Clinic/Center | 1414 E Willow Rd, Enid, OK 73701-8714 | 2012-01-04 |
| 1700807997 | Integris Bass Baptist Health Center | Home Health | 401 S. 3rd, Enid, OK 73701-5737 | 2006-07-22 |
| 1528060019 | Integris Bass Baptist Health Center | Family Medicine | 316 Main St, Po Bx 659, Garber, OK 73738-0659 | 2005-08-15 |
| 1629679089 | Integris Bass Baptist Health Center | Clinic/Center | 2821 N Van Buren St Ste B, Enid, OK 73703-1729 | 2020-11-03 |
| 1659971398 | Integris Bass Baptist Health Center | Clinic/Center | 300 N Cherokee St, Hennessey, OK 73742-1106 | 2020-10-30 |
| 1740880483 | Integris Bass Baptist Health Center | Clinic/Center | 620 S Madison St, Stes 107, 209 & 301, Enid, OK 73701-7273 | 2020-10-30 |
| 1699383463 | Integris Bass Baptist Health Center | Pediatrics | 600 S Monroe St, Enid, OK 73701-7211 | 2020-07-17 |
| 1396216677 | Integris Bass Baptist Health Center | Clinic/Center | 707 S Monroe St, Enid, OK 73701-7286 | 2018-12-11 |
| 1679070577 | Integris Bass Baptist Health Center | Internal Medicine | 707 S Monroe St, Enid, OK 73701-7286 | 2018-04-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | INTEGRIS BASS BAPTIST HEALTH CENTER | 600 S Monroe St, Enid, OK 73701-7211 |
| Street Address |
158B E SUNSET DR |
| City | MEDFORD |
| State | OK |
| Zip Code | 73759-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881762383 | Katherine Ann Mayne | Nurse Practitioner | 158b E Sunset Dr, Medford, OK 73759-2401 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457374332 | Servant Living Center - Medford LLC | Nursing Facility/Intermediate Care Facility | 616 S Front Street, Medford, OK 73759 | 2006-07-25 |
| 1699025973 | Great Salt Plains Health Center, Inc. | Family Medicine | 619 Front Street, Medford, OK 73759-1209 | 2012-09-14 |
| 1235236175 | Kennedy Drug Co | Pharmacy | 107 E Cherokee St, Medford, OK 73759-1209 | 2006-09-20 |
| 1194072363 | Hughes Pharmacy LLC | Pharmacy | 107 E Cherokee St, Medford, OK 73759-1209 | 2012-08-07 |
| 1891945812 | Amy Holmes Medical Services Plc | Family Medicine | 102 E Cherokee, Medford, OK 73759-1210 | 2008-09-26 |
| 1407049307 | Jonathan D. Wren D.c. | Chiropractor | 104 N Main St, Medford, OK 73759-1232 | 2007-08-23 |
| 1598960015 | Associated Therapeutic Services, PC | Counselor | 114 N Main St, Medford, OK 73759-1232 | 2007-06-15 |
| 1881736577 | Medford Public School | Public Health or Welfare | 301 N Main St, Medford, OK 73759-1234 | 2007-02-12 |
| 1225025455 | Michael F Flanagan, Receiver for Medfors Nursing Home | Skilled Nursing Facility | 616 S Front St, Medford, OK 73759-1714 | 2005-10-03 |
| 1891110797 | Robertson Health Care LLC | Skilled Nursing Facility | 616 S Front St, Medford, OK 73759-1714 | 2014-02-28 |
| Find all providers in zip 73759 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346847332 | Jasmine Barnhart | Family Medicine | 1935 Canyon Ave, Medford, OR 97504-2128 | 2020-10-03 |
| 1831742667 | Mallory Marie Morton | Family Medicine | 429 Main St # 3, Medford, MA 02155-6571 | 2019-07-21 |
| 1841619418 | Andrew Thomas Gomez | Family Medicine | 131 Rte 70 W, Ste 100, Medford, NJ 08055 | 2014-04-10 |
| 1992140313 | Stephanie Guido | Family Medicine | 128 Route 70 Ste Aandb, Medford, NJ 08055-2371 | 2013-04-30 |
| 1316214281 | Carl Russell Griesser | Family Medicine | 555 Black Oak Drive, Suite 100, Medford Medical Clinic, Medford, OR 97504 | 2011-11-21 |
| 1649591223 | Wesley T Ramoso | Family Medicine | 3225 Hillcrest Park Dr, Medford, OR 97504-7657 | 2010-06-17 |
| 1891945812 | Amy Holmes Medical Services Plc | Family Medicine | 102 E Cherokee, Medford, OK 73759-1210 | 2008-09-26 |
| 1972793370 | Sowmya Reddy Thadisina | Family Medicine | 101 Main St Ste 214, Medford, MA 02155-4530 | 2007-07-31 |
| 1689890667 | James K Robinson II | Family Medicine | W5238 Jolly Ave, Medford, WI 54451-9303 | 2007-04-18 |
| 1316160658 | Island Medical of Medford, LLP | Family Medicine | 1647 Route 112, Medford, NY 11763-3635 | 2007-04-11 |
| Find all providers in MEDFORD | ||||
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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.