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DSH370028D INTEGRIS Baptist Medical Center (Terminated)
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Main Details
Name
INTEGRIS Baptist Medical Center
Subdivision Name
INTEGRIS Cardiolgy Cath and Nuclear Lab
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH370028D
Medicare Provider Number
370028
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/6/2014
Participating Start Date
4/1/2014
Participating Approval Date
3/12/2014
Last Recertification Date
8/18/2016
Termination Date
Termination Reason
1/1/2017
DSH percentage below statutory minimum
Contacts
Authorizing Official
INTEGRIS Health System
Chris Hammes, Executive Vice President
(405) 949-3400
Primary Contact
INTEGRIS Health
Georg F. Lunday, Chief Pharmacy Officer
(405) 401-4842
Addresses
Street Address
3433 NW 56th Street, Suite 500
Oklahoma City, OK 73112
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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