INTEGRIS BLACKWELL REGIONAL HOSPITAL HOME HEALTH - NPI 1093739120

Q: What is the provider's specialty?

The provider's specialty is Home Health with taxonomy code 251E00000X.

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About Integris Blackwell Regional Hospital Home Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTEGRIS BLACKWELL REGIONAL HOSPITAL HOME HEALTH (NPI 1093739120) is a healthcare organization registered as a home health in Blackwell, Oklahoma and active in the NPI registry since July 2006. The organization lists Laurie J Holtsford, Director, Business Operations, as its authorized official.

NPPES Registry Identity

NPI1093739120

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameINTEGRIS BLACKWELL HOME HEALTH & HOSPICE

Location Address710 S 13TH STBlackwell, OK 74631-3700

Mailing Address706 S 13th StreetBlackwell, OK 74631-3700 · (580) 363-2311 · Fax (580) 363-9352

Phone(580) 363-2311

Fax(580) 363-9352

Organization SubpartNo

Authorized OfficialLaurie J HoltsfordDirector, Business Operations · (615) 465-7466

Enumeration DateJuly 26, 2006

Last NPPES UpdateJune 9, 2014

✔ NPI 1093739120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

License✔ Licensed in OK · 7335

Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

710 S 13TH ST, Blackwell, OK 74631

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Other Names 1

Doing Business AsIntegris Blackwell Regional Hospital Home Health

Other Identifiers 2

Medicare OSCAR/certification377186OK

Medicaid100700340BOK