Integris Grove Hospital

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

2184 Issued in OK

Legal business name

INTEGRIS GROVE HOSPITAL

Doing business as

Trinity Home Medical Equipment

Practice address

63238 E 290 Rd
Grove, OK 74344-3224

Phone

(918) 787-3800

NPI assigned

Jul 27, 2006

Last updated

Apr 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donna Wallace

Title

VP Finance

Phone

(636) 359-4890

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Trinity Home Medical Equipment Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

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

• Integris Grove Hospital

  dba Integris Medical Group Grove

  • Rural Health Clinic/Center
  • Grove, OK
  • NPI 1134720592

  0042105835

  Same PAC ID
• Integris Grove Hospital

  dba Integris Health Grove Hospital

  • General Acute Care Hospital
  • Grove, OK
  • NPI 1467473579

  0042105835

  Same PAC ID
• Integris Grove Hospital

  dba INTEGRIS Express Care Grove

  • Rural Health Clinic/Center
  • Grove, OK
  • NPI 1689274391

  0042105835

  Same PAC ID

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

Medicare medical equipment & supply locations

Tax ID family

Grand Lake Family Pract5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Grove General Hospital

  dba Integris Grove General Hospital Anesthesia Department

  • Anesthesiology Physician
  • Grove, OK
  • NPI 1467692145
  NPD tax ID
• Integris Grove Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Grove, OK
  • NPI 1699130344
  NPD tax ID
• Integris Grove Hospital

  dba Integris Grove EMS

  • Ambulance
  • Grove, OK
  • NPI 1770626608
  NPD tax ID
• Integris Grove Hospital

  dba Trinity Life Care Home Health Supplies

  • Home Health Agency
  • Grove, OK
  • NPI 1871785642
  NPD tax ID

Locations

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1669486684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450129",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743450458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63238 E 290 RD",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743443224",
            "telephone_number": "918-787-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRIS GROVE HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "636-359-4890"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OK",
            "license": "2184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100699700J",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Home Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rikki Hunt
• Kirsten L Ikerd
• Integris Ambulatory Care Corporation (INTEGRIS Health Jim Thorpe Outpatient Rehabilitation Center)
• Integris Grove Hospital (Integris Medical Group Grove)
• Integris Grove Hospital (Integris Health Grove Hospital)
• Integris Grove Hospital (INTEGRIS Express Care Grove)
• Integris Grove Hospital
• Integris Grove Hospital (Integris Grove EMS)
• Integris Grove Hospital (Trinity Life Care Home Health Supplies)
• Integris Prohealth Inc (INTEGRIS Pharmacy 4175)

• Durable Medical Equipment & Medical Supplies in Grove, OK
• Providers in Grove, OK by specialty
• Durable Medical Equipment & Medical Supplies in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.