Basic Information
| Provider Information | |||||||||
| NPI: | 1881687184 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | INTEGRIS RURAL HEALTH INC | ||||||||
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| OtherOrganizationName: | SURGICAL ASSOCIATES OF ENID DBA EDWARD L BARNS HD CLINIC | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 960220 | ||||||||
| Address2: | |||||||||
| City: | OKLAHOMA CITY | ||||||||
| State: | OK | ||||||||
| PostalCode: | 731960001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5805481367 | ||||||||
| FaxNumber: | 5805481537 | ||||||||
| Practice Location | |||||||||
| Address1: | 3201 N VAN BUREN ST | ||||||||
| Address2: | STE 500 | ||||||||
| City: | ENID | ||||||||
| State: | OK | ||||||||
| PostalCode: | 737031812 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5802377700 | ||||||||
| FaxNumber: | 5802345191 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/23/2005 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | WEINMEISTER | ||||||||
| AuthorizedOfficialFirstName: | OSCAR | ||||||||
| AuthorizedOfficialMiddleName: | K | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT RURAL HEALTH | ||||||||
| AuthorizedOfficialTelephone: | 4059512616 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNameSuffix: | JR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Y00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Otolaryngology |
No ID Information.