NPIMap

Organization Active NPI

Integris Grove Hospital

Doing business as Integris Health Grove Hospital

  • General Acute Care Hospital
  • Grove, OK
National Provider Identifier
1467473579
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
2184 Issued in OK
Legal business name
INTEGRIS GROVE HOSPITAL
Doing business as
Integris Health Grove Hospital
Practice address
1001 E 18TH St
Grove, OK 74344-5304
Phone
(918) 786-2243
NPI assigned
Jul 22, 2006
Last updated
Aug 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 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
General Acute Care Hospital 282N00000X 2184 OK Primary

Addresses

Primary practice location

1001 E 18TH St
Grove, OK 74344-5304

Mailing address

PO Box 200754
Dallas, TX 75320-0754
Phone (405) 252-8400

Other identifiers 1

IdentifierTypeStateIssuer
100699700AMedicaidOK

Other names 1

  • INTEGRIS HEALTH GROVE HOSPITAL Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address INTEGRIS@DIRECT.INTEGRISOK.COM Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments

Enrollment records 2

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
O20040223000165 OK Part A Provider - Hospital 0042105835 1 other NPI on this enrollment
Practice locations: Grove, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467473579. Details of each certification follow.

Hospital certification: CCN 370113

Legal name
INTEGRIS GROVE HOSPITAL
Doing business as
INTEGRIS HEALTH GROVE HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Mar 31, 1979
Last certification
Jan 15, 2025
Beds
58
Ownership / control type
Private (not for profit)
Organization structure
LLCNon-profit
Incorporated
Mar 14, 1975 in OK
Enrollment address
1001 E 18TH St
Grove, OK 74344-2907
Other Hospital Practice Location
Hospital subgroups
Acute care

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

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 4

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Integris Grove HospitalCCN 370113 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1200 Neo Loop
Ste C
Grove, OK 74344
Phone (918) 786-7300

4621 US Highway 59 N
Grove, OK 74344
Phone (918) 314-1082

Ownership & related parties

All disclosed owners & managing parties 34

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

NameRoleSinceShare
Georgianne M Snowden Individual Corporate Director Jul 1, 2020
James D Rutter Individual Corporate DirectorBoard Member Jan 1, 2014
Chris M Hammes Individual Corporate DirectorBoard Member Jul 1, 2012
Philip Nmi Mosca Individual Corporate Director Jul 1, 2020
John Hampton Individual Corporate Director Jul 1, 2020
Joey D Sager Individual Corporate Director Jul 1, 2020
Suzanne Knott Individual Corporate Director Jul 1, 2020
Michael L Weed Individual Corporate Director Jul 1, 2020
W-2 Managing Employee Jul 1, 2020
Charles a Neal Individual Corporate Director Jul 1, 2020
Elliott R Schwartz Individual Corporate Director Jul 1, 2020
Justin Lee Mitchell Individual Corporate Director Jul 1, 2020
James Perryman Individual Corporate DirectorBoard Member Jul 1, 2017
Jonas Rabel Individual Corporate Director Jul 1, 2020
Baptist Healthcare of Oklahoma LLC Organization, Oklahoma City, OK LLC, Non-profit Operational/Managerial Control Jun 22, 1994 100%
Lucius R Corbett Individual Corporate DirectorBoard Member Jan 1, 2001
Alfred Marshall Snipes Individual Corporate DirectorBoard Member Jul 1, 2008
Caleb Goldner Individual Corporate DirectorBoard Member Jan 1, 2015
Sue H Sly Individual Corporate Director Jul 1, 2020
David L Thompson Individual Corporate DirectorBoard Member Jul 1, 2007
Grant Kernan Individual Corporate DirectorBoard Member Jan 1, 2015
David R Frazier Individual Corporate Director Jul 1, 2020
Integris Rural Health Inc Organization, Oklahoma City, OK Corporation, Non-profit 5% Or Greater Direct Ownership Interest Feb 14, 1994 100%
Operational/Managerial Control Feb 14, 1994 100%
Fredrick J Neill Individual Corporate DirectorBoard Member Jan 1, 2006
Lynn Pagels Individual Corporate DirectorBoard Member Jan 1, 2007
Christianna Wright Individual Corporate DirectorBoard Member Jan 1, 2015
Patrick Jurgensmeyer Individual Corporate Director Jul 1, 2020
Neal Hogan Individual Corporate Director Jul 1, 2020
Christopher C Turner Individual Corporate DirectorBoard Member Jul 1, 2006
Peter B Delaney Individual Corporate DirectorBoard Member Jul 1, 2009
Mark J Werner Individual Corporate Director Jul 1, 2020
Linda Vytlacil Individual Corporate Director Jul 1, 2020
Timothy Pehrson Individual W-2 Managing EmployeeCeo Aug 1, 2018
Kyle J Schauf Individual Corporate Director Jul 1, 2020
Edmund O Martin Individual Corporate Director Jul 1, 2020

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 12

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

Practitioners & affiliated clinicians

Practitioners 54

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 54

Affiliated clinicians 113

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

View all 113

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1467473579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200754",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753200754",
            "telephone_number": "405-252-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E 18TH ST",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743445304",
            "telephone_number": "918-786-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRIS GROVE HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "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": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OK",
            "license": "2184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100699700A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "INTEGRIS@DIRECT.INTEGRISOK.COM",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1001 E 18th St",
            "city": "Grove",
            "state": "OK",
            "country_code": "US",
            "postal_code": "743445304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "INTEGRIS HEALTH GROVE HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grove, OK

Sources for this page

Verify at the official NPI Registry.