Integrated Renegade, Llc
Community/Behavioral Health
About Integrated Renegade, Llc
Integrated Renegade, Llc is a healthcare organization providing Community/Behavioral Health services, registered under National Provider Identifier (NPI) number 1366223265. The authorized official for Integrated Renegade, Llc is PETRA RUSSELL.
The organization is headquartered at 1264 E 139TH PL, Glenpool, Oklahoma 74033. The main office can be reached at (918) 321-0697. Integrated Renegade, Llc has been NPI-registered since 2023.
Locations & Contact
Primary Location
- Address
- 1264 E 139TH PL
- City
- Glenpool
- State
- Oklahoma
- ZIP
- 74033-3125
- Phone
- (918) 321-0697
Authorized Official
- Name
- PETRA RUSSELL
Mailing Address
- Address
- 1264 E 139TH PL
- City
- GLENPOOL
- State
- OK
- ZIP
- 740333125
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Services & Taxonomy
Specialty & Classification
- Primary Specialty
- Community/Behavioral Health
- Classification
- Community/Behavioral Health
- Taxonomy Code
- 251S00000X
Medicare Enrollment
- Medicare Enrolled
- No
- Can Order/Refer
- No
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Integrated Renegade, Llc's NPI number?
What does Integrated Renegade, Llc specialize in?
Where is Integrated Renegade, Llc located?
Does Integrated Renegade, Llc accept Medicare?
Does Integrated Renegade, Llc offer telehealth or virtual visits?
What is a Type 2 NPI (Organization)?
A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Integrated Renegade, Llc holds NPI 1366223265, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.