NPIMap

Organization Active NPI

Integris Health Woodward Hospital Inc

Doing business as Integris Health Woodward Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Woodward, OK
National Provider Identifier
1417729047
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
INTEGRIS HEALTH WOODWARD HOSPITAL INC
Doing business as
Integris Health Woodward Hospital
Practice address
900 17TH St
Woodward, OK 73801-2448
Phone
(580) 256-5511
NPI assigned
Oct 26, 2023
Last updated
Sep 22, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
INTEGRIS HEALTH WOODWARD HOSPITAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Authorized official

Name
Michael L Weed
Title
Treasurer
Phone
(405) 951-2737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X Primary

Addresses

Primary practice location

900 17TH St
Woodward, OK 73801-2448

Mailing address

PO Box 842033
Kansas City, MO 64184-2033
Phone (405) 252-8400

Other names 1

  • INTEGRIS HEALTH WOODWARD HOSPITAL Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240112003014 OK Part A Provider - Hospital 0840641825 Practice locations: Woodward, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417729047. Details of each certification follow.

Hospital certification: CCN 37U002

Legal name
INTEGRIS HEALTH WOODWARD HOSPITAL INC
Doing business as
INTEGRIS HEALTH WOODWARD HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Jul 31, 2023 in OK
Enrollment address
900 17TH St
Woodward, OK 73801-2448
Hospital Swing-Bed Unit
Hospital subgroups
Swing-bed approved

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Integris Health Woodward Hospital Inc7 organizations share this tax ID, including this one
Part of
Integris Health Woodward Hospital Inc

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
John Brown Individual Contracted Managing EmployeeChief Hospital Executive Nov 1, 2023
Corporate OfficerChief Hospital Executive Nov 1, 2023
Operational/Managerial ControlChief Hospital Executive Nov 1, 2023
Donna M Wallace Individual Corporate OfficerAssistant Treasurer Oct 31, 2023
Michael L Weed Individual Contracted Managing EmployeeTreasurer Jul 31, 2023
Corporate OfficerTreasurer Oct 31, 2023
Operational/Managerial ControlTreasurer Jul 31, 2023
Integris Health Inc Organization, Oklahoma City, OK Corporation, Non-profit Operational/Managerial Control Jul 31, 2023
Brent Hubbard Individual Contracted Managing EmployeeSenior Vice President & Coo Jul 31, 2023
Corporate OfficerSenior Vice President & Coo Oct 31, 2023
Operational/Managerial ControlSenior Vice President & Coo Jul 31, 2023
Timothy Pehrson Individual Contracted Managing EmployeePresident & Ceo Jul 31, 2023
Corporate OfficerPresident & Ceo Oct 31, 2023
Corporate DirectorPresident & Ceo Jul 31, 2023
Operational/Managerial ControlPresident & Ceo Jul 31, 2023
OtherChain Home Office Administrator Nov 1, 2023

Facilities with the same owner 30

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 30

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790035200000",
    "number": "1417729047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 842033",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641842033",
            "telephone_number": "405-252-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 17TH ST",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738012448",
            "telephone_number": "580-256-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRIS HEALTH WOODWARD HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTEGRIS HEALTH WOODWARD HOSPITAL INC",
        "enumeration_date": "2023-10-26",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A",
        "authorized_official_last_name": "WEED",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "405-951-2737"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTEGRIS HEALTH WOODWARD HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodward, OK

Sources for this page

Verify at the official NPI Registry.