Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Integris Bass Baptist Health Center

Organization Family Medicine Physician · NPI 1124029293

Integris Bass Baptist Health Center is a Family Medicine Physician in Waynoka, Oklahoma. Registered with an NPI since 2005.

In the registry since
2005
Specialties on file
2

Practice location Address checks out

1084 Nickerson St
Waynoka, OK 73860-1245
Phone: (580) 824-2281
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Rural Health Clinic/Center Taxonomy 261QR1300X

Record details

NPI number1124029293
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donna Wallace — Assistant Treasurer · (636) 359-4890
Other names Integris Health Medical Group Waynoka
NPI enumeratedAugust 10, 2005
Last updated in NPPESApril 7, 2025
Certification dateApril 7, 2025
Mailing addressPo Box 200731, Dallas, TX 75320-0731