NPIMap

Organization Active NPI

Integris Grove Hospital

Doing business as Integris Grove EMS

  • Ambulance
  • Grove, OK
National Provider Identifier
1770626608
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
2184 Issued in OK
Legal business name
INTEGRIS GROVE HOSPITAL
Doing business as
Integris Grove EMS
Practice address
701 E 13TH Street
Grove, OK 74344
Phone
(918) 786-2243
NPI assigned
Feb 14, 2007
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
Ambulance 341600000X 2184 OK Primary

Addresses

Primary practice location

701 E 13TH Street
Grove, OK 74344

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
100699700DMedicaidOK

Other names 1

  • Integris Grove EMS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040223000165 OK Part A Provider - Hospital 0042105835 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Grove, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1770626608. 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 on the same Medicare enrollment 1

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
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.

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.

Practitioners & affiliated clinicians

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": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1770626608",
    "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": "701 E 13TH STREET",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "74344",
            "telephone_number": "918-786-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRIS GROVE HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "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": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OK",
            "license": "2184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100699700D",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integris Grove EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grove, OK

Sources for this page

Verify at the official NPI Registry.