Integris Canadian Valley Family Care Clinic – Family Medicine Physician, NPI 1962403030

Integris Canadian Valley Family Care Clinic is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in Family Medicine Physician. The NPI Number for Integris Canadian Valley Family Care Clinic is 1962403030

Main info

Organization
Name
Integris Canadian Valley Family Care Clinic
NPI
1962403030
Phone
(580) 548-1367
Address
PO BOX 960033
Authorized Official
JEFFREY M BROWN VP OF PHYSICIAN PRACTICE MANAGEMENT
Enumeration Date
10 August 2005
Last Update Date
2 January 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness80
Years active:20State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Integris Canadian Valley Family Care Clinic

  • Box, Sequoyah County, Oklahoma, United States

    OKLAHOMA CITY, OK 731960033

    Phone: (580) 548-1367

    Fax: (580) 548-1583

    Type: Mailing

  • 1468, North Mustang Road, Mustang, Canadian County, Oklahoma, 73064, United States

    MUSTANG, OK 730640000

    Phone: (405) 376-1800

    Fax: (405) 376-1856

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73196)

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Reviews

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Frequently asked questions

How do payers reference Integris Canadian Valley Family Care Clinic?
For Integris Canadian Valley Family Care Clinic, use NPI 1962403030 as the unique 10-digit identifier.
Active or inactive — what applies to Integris Canadian Valley Family Care Clinic?
You should see Integris Canadian Valley Family Care Clinic as active in CMS-hosted NPPES data.
How would a patient describe Integris Canadian Valley Family Care Clinic's focus?
For Integris Canadian Valley Family Care Clinic, the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Integris Canadian Valley Family Care Clinic?
Directory geography for Integris Canadian Valley Family Care Clinic centers on Oklahoma City, Oklahoma.
Does Integris Canadian Valley Family Care Clinic accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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