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DSH370028E INTEGRIS BAPTIST MEDICAL CENTER (Terminated)
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Main Details
Name
INTEGRIS BAPTIST MEDICAL CENTER
Subdivision Name
INTEGRIS Baptist Medical Center Surgery Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH370028E
Medicare Provider Number
370028
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/11/2019
Participating Start Date
1/1/2020
Participating Approval Date
11/15/2019
Last Recertification Date
8/23/2023
Termination Date
Termination Reason
1/1/2024
Site closure
Contacts
Authorizing Official
INTEGRIS Health
Georg F. Lunday, Chief Pharmacy Officer
(405) 401-4842
Primary Contact
INTEGRIS Health
Ryan Dale Dooley, 340B Compliance Manager
(405) 802-6057
Addresses
Street Address
3433 Northwest 56th Street, Suite 300
OKLAHOMA CITY, OK 73112
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating start date 7/1/2014; Termination date 1/1/2017; Reinstated 1/1/20.
10/22/2019
April 2025
April 2025
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