INTEGRIS HEALTH MEDICAL GROUP
NPI 1528830163
Clinic/Center - Rural Health in Ponca City, OK

Active since October 26, 2023CLIA Certified · 9 labs
1908 N 14TH ST, STE 202, 203 & 207, PONCA CITY, OK 74601(580) 718-4501 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Integris Health Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTEGRIS HEALTH MEDICAL GROUP (NPI 1528830163) is a healthcare organization registered as a rural health in Ponca City, Oklahoma and active in the NPI registry since October 2023. The organization holds 9 active CLIA laboratory certificates and lists Donna Wallace, Assistant Treasurer, as its authorized official.

NPPES Registry Identity

NPI1528830163
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameINTEGRIS HEALTH PONCA CITY HOSPITAL INC
Location Address1908 N 14TH ST, STE 202, 203 & 207Ponca City, OK 74601-2039
Mailing Address3001 Quail Springs Pkwy Fl 3Oklahoma City, OK 73134-2640 · (405) 252-8400
Organization SubpartYes
Authorized OfficialDonna WallaceAssistant Treasurer · (636) 359-4890
Enumeration DateOctober 26, 2023
Last NPPES UpdateOctober 24, 2024
NPPES CertifiedOctober 24, 2024
NPI 1528830163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X
Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X
Also ListedPediatricsTaxonomy 208000000X
1908 N 14TH ST, Ponca City, OK 74601

Other Names 1

Doing Business AsIntegris Health Medical Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 9

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2228056

Integris Health Medical Group · Ponca City, OK
Active · expires Jun 21, 2027
CLIA Number37D2228056
Laboratory TypePhysician Office
Certificate Effective DateJune 22, 2025
Certificate Expiration DateJune 21, 2027
Laboratory DirectorSean Reid
Laboratory Phone(580) 718-4501
Laboratory LocationIntegris Health Medical Group1908 N 14th, Ste 202, Ponca City, OK 74601
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 37D1065330

Integris Health Ponca City Hospital · Ponca City, OK
Active · expires Feb 26, 2027
CLIA Number37D1065330
Laboratory TypeRural Health Clinic
Certificate Effective DateFebruary 27, 2025
Certificate Expiration DateFebruary 26, 2027
Laboratory DirectorGuillermo Robles
Laboratory Phone(580) 718-4501
Laboratory LocationIntegris Health Ponca City Hospital1908 N 14th St, Ste 203, Ponca City, OK 74601
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 37D2183453

Integris Health Medical Group · Ponca City, OK
Active · expires May 4, 2028
CLIA Number37D2183453
Laboratory TypePhysician Office
Certificate Effective DateMay 5, 2026
Certificate Expiration DateMay 4, 2028
Laboratory DirectorStephen Ross
Laboratory Phone(580) 762-9355
Laboratory LocationIntegris Health Medical Group1908 N 14th, Ste 205, Ponca City, OK 74601
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 37D2229659

Integris Health Medical Group · Ponca City, OK
Active · expires Jul 14, 2027
CLIA Number37D2229659
Laboratory TypePhysician Office
Certificate Effective DateJuly 15, 2025
Certificate Expiration DateJuly 14, 2027
Laboratory DirectorChristen Ground
Laboratory Phone(580) 762-9355
Laboratory LocationIntegris Health Medical Group1908 N 14th, Ste 206, Ponca City, OK 74601
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 37D2009684

Integris Health Medical Group · Ponca City, OK
Active · expires Apr 24, 2028
CLIA Number37D2009684
Laboratory TypePhysician Office
Certificate Effective DateApril 25, 2026
Certificate Expiration DateApril 24, 2028
Laboratory DirectorBrad A. Liston
Laboratory Phone(580) 762-9355
Laboratory LocationIntegris Health Medical Group1908 N 14, Ste 204, Ponca City, OK 74601
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 37D2296852

Integris Health Medical Group · Ponca City, OK
Active · expires Jan 7, 2028
CLIA Number37D2296852
Laboratory TypeRural Health Clinic
Certificate Effective DateJanuary 8, 2026
Certificate Expiration DateJanuary 7, 2028
Laboratory DirectorGuillermo Robles
Laboratory Phone(580) 718-4509
Laboratory LocationIntegris Health Medical Group1908 N 14, Ste 207, Ponca City, OK 74601
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
1908 N 14TH ST
PONCA CITY, OK 74601
Internal Medicine
1908 N 14TH ST, SUITE 207
PONCA CITY, OK 74601
Specialist
1908 N 14TH ST, SUITE 206
PONCA CITY, OK 74601
Obstetrics & Gynecology
1908 N 14TH ST, SUITE 202
PONCA CITY, OK 74601
Family Medicine
1908 N 14TH ST, STE. 204
PONCA CITY, OK 74601
Urology
1908 N 14TH ST, 201
PONCA CITY, OK 74601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Integris Health Ponca City Hospital Inc's NPI number?

The NPI number for Integris Health Ponca City Hospital Inc is 1528830163. It was assigned to this organization in the NPPES registry on October 26, 2023. The provider is doing business as Integris Health Medical Group.

Where is Integris Health Ponca City Hospital Inc located?

Integris Health Ponca City Hospital Inc is located at 1908 N 14th St Ste 202, 203 & 207, Ponca City, OK 74601. The listed phone number is (580) 718-4501.

What is Integris Health Ponca City Hospital Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Integris Health Ponca City Hospital Inc hold CLIA laboratory certificates?

Yes. 9 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Integris Health Ponca City Hospital Inc accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and UnitedHealthcare list Integris Health Ponca City Hospital Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Integris Health Ponca City Hospital Inc was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.