NPIMap

Organization Active NPI

Integris Grove Hospital

Doing business as INTEGRIS Express Care Grove

  • Rural Health Clinic/Center
  • Grove, OK
National Provider Identifier
1689274391
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
INTEGRIS GROVE HOSPITAL
Doing business as
INTEGRIS Express Care Grove
Practice address
10 E 13TH St
Grove, OK 74344-5300
Phone
(918) 786-1909
NPI assigned
Oct 30, 2020
Last updated
Aug 10, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
INTEGRIS GROVE HOSPITALAs reported in NPPES

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
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

10 E 13TH St
Grove, OK 74344-5300

Mailing address

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

Other names 1

  • INTEGRIS Express Care Grove Doing business as

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
O20210421002864 OK Part A Provider - Rural Health Clinic 0042105835 Practice locations: Grove, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689274391. Details of each certification follow.

Rural health clinic certification: CCN 378550

Legal name
INTEGRIS GROVE HOSPITAL
Doing business as
INTEGRIS EXPRESS CARE GROVE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Apr 15, 2022
Last certification
Apr 4, 2025
Ownership / control type
2B
Organization structure
LLCNon-profit
Enrollment address
10 E 13TH St
Grove, OK 74344-5300
Related CCNs
370113

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 3

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

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2018433Integris Express Care Grove10 E 13TH Street, Grove, OK 74344Certificate of waiverJan 4, 2027

National Provider Directory

National Provider Directory
Part of
Grand Lake Family Pract

Member organizations 1

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

Locations

10 E 13th St
Grove, OK 74344
Phone (918) 786-1909

Ownership & related parties

All disclosed owners & managing parties 25

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

NameRoleSinceShare
Alice a Hunt Individual Contracted Managing EmployeeDirector of Physician Operations Jul 6, 2020
Operational/Managerial ControlDirector of Physician Operations Jul 6, 2020
James D Rutter Individual Corporate Director Jul 1, 2016
John Hampton Individual Corporate Director May 1, 2019
Suzanne Knott Individual Corporate Director May 1, 2019
Michael L Weed Individual W-2 Managing Employee Aug 1, 2022
Operational/Managerial Control Aug 1, 2022
Charles a Neal Individual Corporate Director Jun 30, 2005
Integris Health Inc Organization, Oklahoma City, OK Corporation, Non-profit Operational/Managerial Control Jul 1, 1994
Justin Lee Mitchell Individual Corporate Director Jan 1, 2020
James Perryman Individual Corporate Director Jul 1, 2017
Jonas Rabel Individual Contracted Managing EmployeeChief Hospital Executive Jul 1, 2019
Corporate OfficerChief Hospital Executive Jul 1, 2019
Operational/Managerial ControlChief Hospital Executive Jul 1, 2019
Baptist Healthcare of Oklahoma LLC Organization, Oklahoma City, OK LLC, Non-profit Operational/Managerial Control Jun 7, 1978
Caleb Goldner Individual Corporate Director Jan 1, 2015
Sue H Sly Individual Corporate Officer Jul 1, 2020
Corporate Director Jun 16, 2005
Grant Kernan Individual Corporate Director Jan 1, 2015
David R Frazier Individual Corporate Director Nov 1, 2017
Ashley C Walker Individual Corporate Director Nov 1, 2017
Integris Rural Health Inc Organization, Oklahoma City, OK Corporation, Non-profit Operational/Managerial Control Jul 1, 1994
Fredrick J Neill Individual Corporate Director Jan 1, 2006
Lynn Pagels Individual Corporate Officer Jul 1, 2020
Corporate Director Jan 1, 2007
Christianna Wright Individual Corporate Director Jan 1, 2015
Jeremy Hogan Individual Corporate Officer Jul 1, 2020
Corporate Director Jul 1, 2018
Patrick Jurgensmeyer Individual Corporate Director Jun 28, 2005
Krisha North Individual W-2 Managing EmployeeClinic Manager Apr 1, 2021
Operational/Managerial ControlClinic Manager Apr 1, 2021
Timothy Pehrson Individual Corporate OfficerPresident & Ceo Aug 1, 2018
OtherChain Home Office Administrator Aug 1, 2018
Kyle J Schauf Individual Contracted Managing EmployeeHospital Cmo & Medical Director Jan 1, 2018
Corporate OfficerHospital Cmo Jan 1, 2018
Corporate DirectorHospital Cmo Jan 1, 2016
Operational/Managerial ControlHospital Cmo & Medical Director Jan 1, 2018

Owners & managing parties with NPI records 4

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

Facilities with the same owner 31

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

View all 31

Practitioners & affiliated clinicians

Practitioners 9

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.

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": "1786320000000",
    "number": "1689274391",
    "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": "10 E 13TH ST",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743445300",
            "telephone_number": "918-786-1909"
        }
    ],
    "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": "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": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTEGRIS Express Care Grove",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grove, OK

Sources for this page

Verify at the official NPI Registry.