# INTEGRIS HEALTH PONCA CITY HOSPITAL INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** INTEGRIS HEALTH PONCA CITY HOSPITAL INC
- **Other names:** INTEGRIS HEALTH MEDICAL GROUP
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1528830163
- **Legal business name:** INTEGRIS HEALTH PONCA CITY HOSPITAL INC
- **Authorized official:** MICHAEL L WEED (TREASURER)
- **Authorized official phone:** (405) 951-2737

## Contact information

- **Practice address:** 1908 N 14TH ST, STE 202, 203, 205 & 207, PONCA CITY, OK 74601-2039
- **Practice address phone:** (580) 718-4501
- **Mailing address:** PO BOX 840026, KANSAS CITY, MO 64184-0026
- **Mailing address phone:** (405) 252-8400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207VG0400X | Gynecology Physician | — | NULL | — |
| 207VG0400X | Gynecology Physician | — | — | — |
| 207VX0000X | Obstetrics Physician | — | NULL | — |
| 207VX0000X | Obstetrics Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/26/2023
- **Last updated:** 09/17/2026