Integris Bass Baptist Health Center
NPI 1730180894 · Rural Health Clinic/Center · Medford, OK
Enrolled with Medicare as Part a Provider - Rural Health Clinic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Integris Bass Baptist Health Center is a Rural Health Clinic/Center organization in Medford, OK (NPI 1730180894).
Provider details
- NPI number
- 1730180894
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Donna Wallace, Assistant Treasurer(636) 359-4890
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Integris Health Medical Group Medford
Registry dates
- Enumerated
- 2005-08-10
- Last updated
- 2025-04-14
- Certified
- 2025-04-14
Frequently asked questions
- What is Integris Bass Baptist Health Center's NPI number?
- Integris Bass Baptist Health Center's National Provider Identifier (NPI) is 1730180894, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Integris Bass Baptist Health Center?
- Integris Bass Baptist Health Center is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Integris Bass Baptist Health Center located?
- Integris Bass Baptist Health Center's practice location on file with NPPES is 158 E Sunset Dr, Medford, OK 73759-2427.
- What is Integris Bass Baptist Health Center's phone number?
- The practice phone number listed in the NPPES registry for Integris Bass Baptist Health Center is (580) 395-2319.
- Does Integris Bass Baptist Health Center accept Medicare?
- Integris Bass Baptist Health Center is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Integris Bass Baptist Health Center?
- The authorized official listed on Integris Bass Baptist Health Center's NPPES record is Donna Wallace, Assistant Treasurer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Integris Bass Baptist Health Center's NPI active?
- Yes — Integris Bass Baptist Health Center's NPI (1730180894) is active in the NPPES registry as of the last update on 2025-04-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.