Organization
INTEGRIS GROVE HOSPITAL
Active
Other names
Trinity Home Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA WALLACE (VP FINANCE)
(636) 359-4890
Entity
Organization
Contact information
Practice address
63238 E 290 RD, GROVE, OK 74344-3224
(918) 787-3800
Mailing address
PO BOX 450129, GROVE, OK 74345-0458
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2184
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100699700J
—
OK
Enumeration date
07/27/2006
Last updated
04/16/2024
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