Organization Active NPI

Integris Grove Hospital

  • Rural Health Clinic/Center
  • Vinita, OK
National Provider Identifier
1275133993
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
INTEGRIS GROVE HOSPITAL
Practice address
216 S 7TH St Ste 1
Vinita, OK 74301-3720
Phone
(918) 256-1500
NPI assigned
Oct 30, 2020
Organization subpart
Yes
Parent organization
INTEGRIS GROVE HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Chris Hammes
Title
Senior Vice President & Coo
Phone
(405) 949-3402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

216 S 7TH St Ste 1
Vinita, OK 74301-3720

Mailing address

5400 N Independence Ave Ste 200
Oklahoma City, OK 73112-5300
Phone (405) 713-5515

Other names 1

  • INTEGRIS EXPRESS CARE VINITA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040219000842 OK Part B Supplier - Clinic/Group Practice 0042105835 Receives reassigned benefits from 17 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Grove, OK; Vinita, OK

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2086116Integris Express Care Vinita216 South 7TH St, Ste 1, Vinita, OK 74301Certificate of waiverOct 27, 2026

National Provider Directory

National Provider Directory
Part of
Grove General Hospital

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1275133993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 N INDEPENDENCE AVE STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125300",
            "telephone_number": "405-713-5515",
            "fax_number": "405-713-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 S 7TH ST STE 1",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743013720",
            "telephone_number": "918-256-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRIS GROVE HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTEGRIS GROVE HOSPITAL",
        "enumeration_date": "2020-10-30",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "HAMMES",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT & COO",
        "authorized_official_telephone_number": "405-949-3402"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTEGRIS EXPRESS CARE VINITA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vinita, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.