NPIMap

Organization Active NPI

Integris Health Ponca City Hospital Inc

Doing business as Integris Health Ponca City Hospital

  • General Acute Care Hospital
  • Ponca City, OK
National Provider Identifier
1548047616
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
INTEGRIS HEALTH PONCA CITY HOSPITAL INC
Doing business as
Integris Health Ponca City Hospital
Practice address
1900 N 14TH St
Ponca City, OK 74601-2035
Phone
(580) 765-3321
NPI assigned
Sep 12, 2023
Last updated
Sep 22, 2026By the provider in NPPES
Organization subpart
No

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
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

1900 N 14TH St
Ponca City, OK 74601-2035

Mailing address

PO Box 840026
Kansas City, MO 64184-0026
Phone (405) 252-8400

Other names 1

  • INTEGRIS HEALTH PONCA CITY HOSPITAL Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240105000583 OK Part A Provider - Hospital 1052762820 Practice locations: Ponca City, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1548047616. Details of each certification follow.

Hospital certification: CCN 370006

Legal name
INTEGRIS HEALTH PONCA CITY HOSPITAL INC
Doing business as
INTEGRIS HEALTH PONCA CITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Oct 21, 1970
Last certification
Apr 20, 2023
Beds
140
Ownership / control type
Other
Most recent change of ownership
Nov 1, 2023 (2 total)
Organization structure
CorporationNon-profit
Incorporated
Aug 16, 2023 in OK
Enrollment address
1900 N 14TH St
Ponca City, OK 74601-2035
Main/Primary Hospital 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 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Integris Health Ponca CityCCN 370006 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Integris Health Ponca City Hospital Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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
Donna M Wallace Individual Corporate OfficerAssistant Treasurer Oct 31, 2023
Michael L Weed Individual Contracted Managing EmployeeTreasurer Aug 16, 2023
Corporate OfficerTreasurer Oct 31, 2023
Operational/Managerial ControlTreasurer Aug 16, 2023
Integris Health Inc Organization, Oklahoma City, OK Corporation, Non-profit Operational/Managerial Control Aug 16, 2023
Brent Hubbard Individual Contracted Managing EmployeeSenior Vice President & Coo Aug 16, 2023
Corporate OfficerSenior Vice President & Coo Oct 31, 2023
Operational/Managerial ControlSenior Vice President & Coo Aug 16, 2023
Timothy Pehrson Individual Contracted Managing EmployeePresident & Ceo Aug 16, 2023
Corporate OfficerPresident & Ceo Oct 31, 2023
Corporate DirectorPresident & Ceo Aug 16, 2023
Operational/Managerial ControlPresident & Ceo Aug 16, 2023
OtherChain Home Office Administrator Nov 1, 2023
Christopher Mendoza Individual Contracted Managing EmployeeChief Hospital Executive Nov 1, 2023
Corporate OfficerChief Hospital Executive Nov 1, 2023
Operational/Managerial ControlChief Hospital Executive 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

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 55

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 55

Affiliated clinicians 155

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

View all 155

NPI Registry JSON

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790035200000",
    "number": "1548047616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840026",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641840026",
            "telephone_number": "405-252-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N 14TH ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746012035",
            "telephone_number": "580-765-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRIS HEALTH PONCA CITY HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-12",
        "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": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTEGRIS HEALTH PONCA CITY HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ponca City, OK

Sources for this page

Verify at the official NPI Registry.