Active NPI
Integris Grove Hospital
- Rural Health Clinic/Center
- Vinita, OK
National Provider Identifier
1275133993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- 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 HOSPITAL
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2086116 | Integris Express Care Vinita | Certificate of waiver | Oct 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.
-
- Family Nurse Practitioner
- Grove, OK
- NPI 1407416548
-
- Nurse Practitioner
- Grove, OK
- NPI 1891454062
-
- Physician Assistant
- Miami, OK
- NPI 1720752314
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.